OWCP_Paper Survey for Soliciting Feedback for Division of Energy Employees Occupational Illness Compensation (DEEOIC) from Resource Center Customers

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

OMB: 1225-0093

IC ID: 265970

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

View Information Collection (IC)

OWCP_Paper Survey for Soliciting Feedback for Division of Energy Employees Occupational Illness Compensation (DEEOIC) from Resource Center Customers
 
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_Resource Center Survey DEEOIC Resource Center Survey March 2024.pdf No   Paper Only
Form and Instruction N/A DEEOIC Resource Center Survey_Spanish DEEOIC Resource Center Survey March 2024 - Spanish.pdf No   Paper Only

Income Security General Retirement and Disability

 

1,500 0
   
Individuals or Households
 
   0 %

  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 1,500 0 0 0 0 1,500
Annual IC Time Burden (Hours) 125 0 0 0 0 125
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Supporting Statement DEEOIC Resource Center 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.
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