OMB.report

Federal forms, ICRs, and supporting documents

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OWCP_Paper Survey for Soliciting Feedback for Division of Energy Employees Occupational Illness Compensation (DEEOIC)from claimants who recently received a development letter

IC 267735 under ICR 202503-1225-001 · OMB 1225-0093.

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Form and Instruction
Form and Instruction
Form and Instruction
IC Document
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OWCP_Paper Survey for Soliciting Feedback for Division of Energy Employees Occupational Illness Compensation (DEEOIC)from claimants who recently received a development letter
 
Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction N/A Development Letter Survey Development Letter Survey May 2024.pdf No   Paper Only

Income Security General Retirement and Disability

 

2,000 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 2,000 0 0 0 0 2,000
Annual IC Time Burden (Hours) 167 0 0 0 0 167
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Supporting Statement DRAFT ICR A11 Section 280 Clearance - DEEOIC Paper Survey Development Letter.docx 05/16/2024
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.