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Federal forms, ICRs, and supporting documents

Information Collection

OWCP_Web Survey for Soliciting Feedback for Division of Energy Employees Occupational Illness Compensation (DEEOIC) Energy Document Portal

IC 265967 under ICR 202503-1225-001 · OMB 1225-0093.

Documents and Forms
Document Name
Document Type
Form and Instruction
Form and Instruction
Form and Instruction
IC Document
IC Document
Information Collection (IC) Details

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OWCP_Web Survey for Soliciting Feedback for Division of Energy Employees Occupational Illness Compensation (DEEOIC) Energy Document Portal
 
Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction N/A DEEOIC Energy Document Portal Survey DEEOIC Energy Document Portal Survey March 2024.docx https://eclaimant.dol.gov Yes Yes Fillable Fileable

Income Security General Retirement and Disability

 

5,000 0
   
Individuals or Households
 
   100 %

  Requested Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 5,000 0 0 0 0 5,000
Annual IC Time Burden (Hours) 250 0 0 0 0 250
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Supporting Statement DEEOIC Energy Document Portal March 2024 - ICR_A11 Section 280 Clearance.docx 03/13/2024
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.