OWCP_Post-event customer feedback survey for Division of Energy Employees Occupational Illness Compensation(DEEOIC)outreach events

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

Documents and Forms

Document Name Document Type
OWCP_Post-event customer feedback survey for Division of Energy Employees Occupational Illness Compensation(DEEOIC)outreach events Form and Instruction
DEEOIC Outreach Event Survey DEEOIC Outreach Event Survey March 2024.pdf Form and Instruction
DEEOIC Outreach Event Survey March 2024 - ICR_A11 Section 280 Clearance.docx Supporting Statement IC Document

Information Collection (IC) Details

IC Title:	OWCP_Post-event customer feedback survey for Division of Energy Employees Occupational Illness Compensation(DEEOIC)outreach events	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	DEEOIC Outreach Event Survey	DEEOIC Outreach Event Survey March 2024.pdf		No		Paper Only

Line of Business: Income Security

Subfunction: Survivor Compensation

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Requested	Previously Approved
Annual Number of Responses for this IC	1,000	1,000
Annual IC Time Burden (Hours)	83	83
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Supporting Statement	DEEOIC Outreach Event Survey 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.