Information Collection

Quantitative Web User Experience Testing (Rapid) Survey for Soliciting Feedback for the Department of Labor Employment and Benefits Security Administration Website

IC 257302 under ICR 202312-1225-004 · OMB 1225-0093.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1225-0093 can be found here:

2025-07-10 - No material or nonsubstantive change to a currently approved collection
2025-04-11 - No material or nonsubstantive change to a currently approved collection

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Quantitative Web User Experience Testing (Rapid) Survey for Soliciting Feedback for the Department of Labor Employment and Benefits Security Administration Website	Form and Instruction
EBSA Quantitative Web UX Testing Rapid Survey DOL_EBSA_Quantitative Web UX Testing Rapid Survey_Digital V03.docx	Form and Instruction
EBSA Quantitative Web UX Testing Rapid Survey DOL_EBSA_Quantitative Web UX Testing Rapid Survey_Digital V03.docx	Form and Instruction
DOL_EBSA_Quant Web UX Testing Rapid Survey_1225-0093 - A11 Section 280 Clearance.docx 1225-0093 - Supporting Statement - EBSA Quant Web UX Testing Rapid Survey	IC Document
DOL_EBSA_Quant Web UX Testing Rapid Survey_1225-0093 - A11 Section 280 Clearance.docx 1225-0093 - Supporting Statement - EBSA Quant Web UX Testing Rapid Survey	IC Document
DOL_EBSA_Feedback_Quant Web UX Testing Rapid Survey_Consent Form.docx EBSA Quant Web UX Testing Rapid - Consent Form	IC Document
DOL_EBSA_Feedback_Quant Web UX Testing Rapid Survey_Consent Form.docx EBSA Quant Web UX Testing Rapid - Consent Form	IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

Quantitative Web User Experience Testing (Rapid) Survey for Soliciting Feedback for the Department of Labor Employment and Benefits Security Administration Website

Agency IC Tracking Number:

IC Status: Unchanged

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	NA	EBSA Quantitative Web UX Testing Rapid Survey	DOL_EBSA_Quantitative Web UX Testing Rapid Survey_Digital V03.docx		Yes	No	Fillable Fileable

Federal Enterprise Architecture Business Reference Module

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 900

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	900	900
Annual IC Time Burden (Hours)	300	300
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
1225-0093 - Supporting Statement - EBSA Quant Web UX Testing Rapid Survey	DOL_EBSA_Quant Web UX Testing Rapid Survey_1225-0093 - A11 Section 280 Clearance.docx	12/09/2022
EBSA Quant Web UX Testing Rapid - Consent Form	DOL_EBSA_Feedback_Quant Web UX Testing Rapid Survey_Consent Form.docx	12/09/2022

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.