OWCP DEEOIC Outreach Event Feedback Form

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

Documents and Forms

Document Name Document Type
OWCP DEEOIC Outreach Event Feedback Form Form
OWCP DEEOIC Outreach Event Feedback Form Outreach Event Feedback Form.pdf Form
OWCP DEEOIC Outreach Event Feedback Form Outreach Event Feedback Form.pdf Form
ICR A11 Section 280 Clearance - DEEOIC Outreach Event Survey.docx OWCP DEEOIC Outreach Event Feedback Form - Supplementary Supporting Statement IC Document
ICR A11 Section 280 Clearance - DEEOIC Outreach Event Survey.docx OWCP DEEOIC Outreach Event Feedback Form - Supplementary Supporting Statement IC Document

Information Collection (IC) Details

IC Title:	OWCP DEEOIC Outreach Event Feedback Form	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	N/A	OWCP DEEOIC Outreach Event Feedback Form	Outreach Event Feedback Form.pdf		No		Paper Only

Line of Business: Income Security

Subfunction: Survivor Compensation

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 800	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Requested	Previously Approved
Annual Number of Responses for this IC	800	800
Annual IC Time Burden (Hours)	67	67
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
OWCP DEEOIC Outreach Event Feedback Form - Supplementary Supporting Statement	ICR A11 Section 280 Clearance - DEEOIC Outreach Event Survey.docx	02/15/2023

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