Department of Labor Generic Clearance for Outreach Activities

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form Not Available API Registration Questions	Form	Unchanged	Available
Form Not Available API Registration Questions	Form	Unchanged	Repair queued
DOL Interaction Survey	Form	Unchanged	Available
DOL NCC Contact Us Form	Form and Instruction	Unchanged	Available
DOL National Contact Center, Contact Us Form	Form and Instruction	Unchanged	Repair queued
ACA Nomination Form	Form and Instruction	Unchanged	Available
Advisory Committee on Apprenticeship (ACA) Membership Solicitation	Form and Instruction	Unchanged	Repair queued
Apprentice Trailblazer Application	Form and Instruction	Unchanged	Available
ETA Apprentice Trailblazer Application	Form and Instruction	Unchanged	Repair queued
Form OSHA Form HEAT1 OSHA’s Beat the Heat National Contest Submission Form	Form	Unchanged	Available
Form OSHA Form HEAT1 National Heat Contest Submission Form	Form	Unchanged	Repair queued
WB FMLA Customer Service Survey	Form and Instruction	Unchanged	Repair queued
Family Medical Leave Act's (FMLA) 30th Anniversary Webinar Series	Form and Instruction	Unchanged	Repair queued
Customer Satisfaction Survey for Benefits.gov	Form and Instruction	Unchanged	Available
Customer Satisfaction Survey for Benefits.gov	Form and Instruction	Unchanged	Repair queued
Form 2022 Application for Apprenticeship Ambassador	Form and Instruction	Unchanged	Available
Form 2022 Apprenticeship Ambassadors Initiative (2022)	Form and Instruction	Unchanged	Repair queued
Application for Apprenticeship Ambassador	Form and Instruction	Unchanged	Available
ETA Apprenticeship Ambassadors Initiative	Form and Instruction	Unchanged	Repair queued
National Apprenticeship Week Registration Forms	Form and Instruction	Unchanged	Available
National Apprenticeship Week Event Registration Forms	Form and Instruction	Unchanged	Repair queued
1225-0059 Generic Clearance Submission Template 12_21_23.docx	Supplementary Document	Uploaded 2023-12-21	Repair queued
Supporting Statement (OMB Control No. 1225-0059) Part A final.docx	Supporting Statement A	Uploaded 2023-12-21	Repair queued
Supporting Statement (OMB Control No. 1225-0059) Part B final 12.22.23.docx	Supporting Statement B	Uploaded 2023-12-22	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
265821	ABA Grant TA Satisfaction Polls	Other-Online Survey	New
265594	Apprentice Trailblazer Commitment Form	Other-webpage	New
265593	Apprenticeship Ambassador Commitment Reporting	Other-webpage	New
265592	National Apprenticeship Week Event and Proclamation Forms	Other-application	New
265589	Youth Apprenticeship Week Event and Proclamation Forms	Other-application	New
265584	EBSA "Lost & Found Portal" Collection 1: Design Review	Other-	New
263196	API Registration Questions	Form	Unchanged	API Registration Questions
263196	API Registration Questions	Form	Unchanged
262739	Apprenticeship Ambassador Commitment Reporting	Other-Online Survey	Unchanged
262715	ABA Grant Webinar Satisfaction Polls	Other-Poll	Unchanged
261412	DOL National Contact Center, Contact Us Form	Form	Unchanged	DOL Interaction Survey
261412	DOL National Contact Center, Contact Us Form	Form and Instruction	Unchanged	DOL NCC Contact Us Form
261412	DOL National Contact Center, Contact Us Form	Form and Instruction	Unchanged
260681	Advisory Committee on Apprenticeship (ACA) Membership Solicitation	Form and Instruction	Unchanged	ACA Nomination Form
260681	Advisory Committee on Apprenticeship (ACA) Membership Solicitation	Form and Instruction	Unchanged
259167	ETA Apprentice Trailblazer Application	Form and Instruction	Unchanged	Apprentice Trailblazer Application
259167	ETA Apprentice Trailblazer Application	Form and Instruction	Unchanged
259038	National Heat Contest Submission Form	Form	Unchanged	OSHA’s Beat the Heat National Contest Submission Form
259038	National Heat Contest Submission Form	Form	Unchanged
258485	Family Medical Leave Act's (FMLA) 30th Anniversary Webinar Series	Form and Instruction	Unchanged	WB FMLA Customer Service Survey
258485	Family Medical Leave Act's (FMLA) 30th Anniversary Webinar Series	Form and Instruction	Unchanged
254941	Customer Satisfaction Survey for Benefits.gov	Form and Instruction	Unchanged	Customer Satisfaction Survey for Benefits.gov
254941	Customer Satisfaction Survey for Benefits.gov	Form and Instruction	Unchanged
254534	Apprenticeship Ambassadors Initiative (2022)	Form and Instruction	Unchanged	Application for Apprenticeship Ambassador
254534	Apprenticeship Ambassadors Initiative (2022)	Form and Instruction	Unchanged
249665	ETA Apprenticeship Ambassadors Initiative	Form and Instruction	Unchanged	Application for Apprenticeship Ambassador
249665	ETA Apprenticeship Ambassadors Initiative	Form and Instruction	Unchanged
249610	ETA Integrated Case Management Initiative Journey Mapping	Other-Interview Guides	Unchanged
248646	National Apprenticeship Week Event Registration Forms	Form and Instruction	Unchanged	National Apprenticeship Week Registration Forms
248646	National Apprenticeship Week Event Registration Forms	Form and Instruction	Unchanged

ICR Details

OMB Control No: 1225-0059	ICR Reference No: 202312-1225-005
Status: Historical Active	Previous ICR Reference No: 202009-1225-001
Agency/Subagency: DOL/DM	Agency Tracking No:
Title: Department of Labor Generic Clearance for Outreach Activities
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 02/07/2024
Retrieve Notice of Action (NOA)	Date Received in OIRA: 12/29/2023
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	02/28/2027	02/29/2024	02/29/2024
Responses	800,000	0	800,000
Time Burden (Hours)	80,000	0	80,000
Cost Burden (Dollars)	0	0	0

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Abstract: The information collections under OMB Control No. 1225-0059 will be designed to support outreach opportunities related to a wide range of agency responsibilities including, but not limited to: • pension programs, • occupational safety and health programs, • mine safety and health programs, • veterans’ programs, • employment and training programs, • statistical programs, and • labor management standards.

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Authorizing Statute(s): None

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	88 FR 62401	09/11/2023
30-day Notice:	Federal Register Citation:	Citation Date:
	88 FR 89730	12/28/2023
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 19

table that charts list of burden

IC Title	Form No.	Form Name
ABA Grant TA Satisfaction Polls
ABA Grant Webinar Satisfaction Polls
API Registration Questions	Not Available	API Registration Questions
Advisory Committee on Apprenticeship (ACA) Membership Solicitation	NA	ACA Nomination Form
Apprentice Trailblazer Commitment Form
Apprenticeship Ambassador Commitment Reporting
Apprenticeship Ambassador Commitment Reporting
Apprenticeship Ambassadors Initiative (2022)	2022	Application for Apprenticeship Ambassador
Customer Satisfaction Survey for Benefits.gov	NA	Customer Satisfaction Survey for Benefits.gov
DOL National Contact Center, Contact Us Form	NA, NA	DOL NCC Contact Us Form ,   DOL Interaction Survey
EBSA "Lost & Found Portal" Collection 1: Design Review
ETA Apprentice Trailblazer Application	N/A	Apprentice Trailblazer Application
ETA Apprenticeship Ambassadors Initiative	NA	Application for Apprenticeship Ambassador
ETA Integrated Case Management Initiative Journey Mapping
Family Medical Leave Act's (FMLA) 30th Anniversary Webinar Series	NA	WB FMLA Customer Service Survey
National Apprenticeship Week Event Registration Forms	NA	National Apprenticeship Week Registration Forms
National Apprenticeship Week Event and Proclamation Forms
National Heat Contest Submission Form	OSHA Form HEAT1	OSHA’s Beat the Heat National Contest Submission Form
Youth Apprenticeship Week Event and Proclamation Forms

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ICR Summary of Burden

table that charts list of burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	800,000	800,000	0	0	0	0
Annual Time Burden (Hours)	80,000	80,000	0	0	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

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Annual Cost to Federal Government: $0

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     No

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? No

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 12/29/2023

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