OWCP Customer Experience Survey for Feedback on Claimants Who Recently Received a Denied Decision

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

OMB: 1225-0093

IC ID: 261458

Documents and Forms

Document Name Document Type
Black Lung Survey- Denied Claim - Instructions Updated 8-2-2023 (002) (003).docx Instruction
CX Survey - Denied Claim CX Survey - Denied Claim 8-24-2023 - Final.docx Form
1225-0093 - A11 Section 280 Clearance - Black Lung-Denied Claim 8-2-2023.docx Supporting Statement IC Document