Download:
pdf |
pdfU.S. Department of Labor
Office of Workers’ Compensation Programs
Division of Energy Employees Occupational Illness Compensation
200 Constitution Ave, NW, Room C-3321
Washington, D.C. 20210
Dear Claimant,
Our records indicate that you recently received a final decision letter from the Division of
Energy Employees Occupational Illness Compensation (DEEOIC). As a valued participant in this
program, we are very interested in receiving feedback on this letter and your experience with
DEEOIC.
This survey is focused on gathering feedback reflecting on your experience and interactions as
part of the program, specifically about the process leading to the final decision letter. Your
participation in the enclosed customer experience survey will help us identify ways to improve
the experience for you and other claimants like you.
The following survey is confidential, and we appreciate your assistance in helping us determine
what is currently working and what could be improved in the future.
Please return this survey using the enclosed postage paid envelope by March 21, 2025.
Thank you for your participation.
Stakeholder Engagement
Branch of Outreach and Technical Assistance
Division of Energy Employees Occupational Illness Compensation
OMB Control Number: 1225-0093
Expiration Date: 01/31/2027
U.S. Department of Labor
Office of Workers’ Compensation Programs
Division of Energy Employees Occupational Illness Compensation
200 Constitution Ave, NW, Room C-3321
Washington, D.C. 20210
DEEOIC CUSTOMER EXPERIENCE SURVEY
The OMB control number for this collection is 1225-0093 and expires on 01/31/2027. According to the Paperwork Reduction Act of 1995, no person is required to respond to a collection
of information unless such collection displays a valid OMB control number. The obligation to respond to this collection is voluntary. We estimate it takes about 5 minutes to complete this
collection of information, including time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing the collection of information. Please send comments regarding the burden estimate or any other aspect of this collection of information to the U.S. Department of Labor, DEEOIC, 200 Constitution Ave., NW,
Room C-3321, Washington, D.C. 20210 and reference OMB Control Number 1225-0093. Note: Please do not return the completed form to this address.
Please indicate your answers to the statements below by
circling a response.
Based on my experience leading up to and receiving my final
decision letter, I trust DEEOIC to fulfill our country’s commitment
to nuclear workers and their families.
Strongly
Agree
Agree
Neutral
Disagree
Strongly
Disagree
N/A
5
4
3
2
1
N/A
What factors contributed to your trust rating? (You may select more than one)
Helpfulness/commitment level of employees
Expectations/information provided throughout process
Ability to get my needs addressed
Length of time of process
Ease of process
Fairness during process
I am satisfied with the service I have received from DEEOIC.
5
4
3
2
1
N/A
I understood what I needed to provide throughout the process.
5
4
3
2
1
N/A
It took a reasonable amount of time for my final decision letter to
be issued.
It was easy to complete what I needed to do to receive my final
decision letter.
5
4
3
2
1
N/A
5
4
3
2
1
N/A
My needs were effectively addressed throughout the process.
5
4
3
2
1
N/A
The DEEOIC employees I have interacted with were helpful.
5
4
3
2
1
N/A
What resources have you found most useful in helping to understand the program and process?
Center
DEEOIC website Resource
Employees
Claims
Examiners
Was your claim approved or denied?
Yes
No
N/A
Do you understand why you received the final decision in your
letter?
Yes
No
N/A
Over
Outreach Events
(webinar or Other: _______________
in-person)
OMB Control Number: 1225-0093
What parts of the final decision letter were easiest to understand?
Easy to Understand
What parts were difficult or confusing?
Difficult to Understand
Do you have additional feedback related to your experience receiving your final decision letter?
Would you be willing to speak with our Customer Experience team If yes, please provide your name: ____________________________
in the future related to your experiences with our program?
Telephone number: _______________________________________
Yes
No
Best day(s) to reach you:
Monday Tuesday Wednesday Thursday Friday
File Type | application/pdf |
Author | eackerma |
File Modified | 2025-01-22 |
File Created | 2024-12-20 |