ETA CareerOneStop Customer Experience Form

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

Documents and Forms

Document Name Document Type
ETA CareerOneStop Customer Experience Form Form and Instruction
COS TouchPoints Survey Questions COS TouchPoints survey questions UPdated 12_8_2023.docx CareerOneStop.org Form and Instruction
ICR Template_A11 Section 280 Clearance.docx Supporting Statement for ETA CareerOneStop Customer Experience Form IC Document

Information Collection (IC) Details

IC Title:	ETA CareerOneStop Customer Experience Form	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	N/A	COS TouchPoints Survey Questions	COS TouchPoints survey questions UPdated 12_8_2023.docx	CareerOneStop.org	Yes	Yes	Fillable Fileable

Line of Business: Workforce Management

Subfunction: Training and Employment

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 3,000	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	3,000	3,000
Annual IC Time Burden (Hours)	150	150
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Supporting Statement for ETA CareerOneStop Customer Experience Form	ICR Template_A11 Section 280 Clearance.docx	12/20/2023

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