Customer Experience and Equity Assessment Survey

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

Documents and Forms

Document Name Document Type
Customer Experience and Equity Assessment Survey Form and Instruction
Customer Experience and Equity Assessment Survey Longshore ECOMP-Instrument_SURVEY 2_v2 edit_final reviewed.docx "Pop Up" option Form and Instruction
1225-0093 - A11 Section 280 Clearance_6-8-2023_SURVEY 2_v2 edit OMB COMMENTS 6 16 23_final reviewed.docx Customer Experience and Equity Assessment Survey IC Document

Information Collection (IC) Details

IC Title:	Customer Experience and Equity Assessment Survey	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	Customer Experience and Equity Assessment Survey	Longshore ECOMP-Instrument_SURVEY 2_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
Customer Experience and Equity Assessment Survey	1225-0093 - A11 Section 280 Clearance_6-8-2023_SURVEY 2_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.