Tree Testing for Soliciting Feedback for the Department of Labor Employment and Benefits Security Administration Website

Improving Customer Experience (OMB Circular A-11, Section 280 Implementation) for the Department of Labor (DOL)

Documents and Forms

Document Name Document Type
Tree Testing for Soliciting Feedback for the Department of Labor Employment and Benefits Security Administration Website Form and Instruction
EBSA Tree Testing Baseline Survey DOL_EBSA_Tree Testing Baseline Survey_V05.docx Form and Instruction
EBSA Tree Testing Baseline Survey DOL_EBSA_Tree Testing Baseline Survey_V05.docx Form and Instruction
DOL_EBSA_Tree Testing Survey_1225-0093 - A11 Section 280 Clearance.docx Supporting Statement - A11 280 EBSA Tree Testing IC Document
DOL_EBSA_Tree Testing Survey_1225-0093 - A11 Section 280 Clearance.docx Supporting Statement - A11 280 EBSA Tree Testing IC Document
DOL_EBSA_Feedback_Tree Testing Survey_Consent Form.docx EBSA Tree Testing - Consent Form IC Document
DOL_EBSA_Feedback_Tree Testing Survey_Consent Form.docx EBSA Tree Testing - Consent Form IC Document

Information Collection (IC) Details

IC Title:	Tree Testing 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:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	NA	EBSA Tree Testing Baseline Survey	DOL_EBSA_Tree Testing Baseline Survey_V05.docx		Yes	Yes	Fillable Fileable

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 30	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Previously Approved
Annual Number of Responses for this IC	30	30
Annual IC Time Burden (Hours)	15	15
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Supporting Statement - A11 280 EBSA Tree Testing	DOL_EBSA_Tree Testing Survey_1225-0093 - A11 Section 280 Clearance.docx	12/09/2022
EBSA Tree Testing - Consent Form	DOL_EBSA_Feedback_Tree Testing 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.