Voluntary Demographic Information

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

Documents and Forms

Document Name Document Type
Voluntary Demographic Information Form and Instruction
Voluntary Demographic Information Longshore ECOMP-Instrument_SURVEY 1_v2 edit_final reviewed.docx “pop-up” option Form and Instruction
1225-0093 - A11 Section 280 Clearance_6-8-2023_SURVEY 1_v2 edit OMB COMMENTS 6 16 23_final reviewed.docx Voluntary Demographic Information IC Document

Information Collection (IC) Details

IC Title:	Voluntary Demographic Information	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	Voluntary Demographic Information	Longshore ECOMP-Instrument_SURVEY 1_v2 edit_final reviewed.docx	“pop-up” option	Yes	Yes	Fillable Fileable

Line of Business: Workforce Management

Subfunction: Labor Rights Management

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 3,156	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	3,156	3,156
Annual IC Time Burden (Hours)	263	263
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Voluntary Demographic Information	1225-0093 - A11 Section 280 Clearance_6-8-2023_SURVEY 1_v2 edit OMB COMMENTS 6 16 23_final reviewed.docx	06/23/2023

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