OWCP_Customer Experience and Equity Survey in ECOMP for Longshore Program

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

Documents and Forms

Document Name Document Type
OWCP_Customer Experience and Equity Survey in ECOMP for Longshore Program Form and Instruction
Longshore Program Customer Experience and Equity Survey Longshore CX and Equity Survey for ICR.docx Form and Instruction
DRAFT ICR A11 Section 280 Clearance - Longshore ECOMP Survey.docx Supporting Statement IC Document

Information Collection (IC) Details

IC Title:	OWCP_Customer Experience and Equity Survey in ECOMP for Longshore Program	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	Longshore Program Customer Experience and Equity Survey	Longshore CX and Equity Survey for ICR.docx		Yes	Yes	Fillable Fileable

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 150	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	150	150
Annual IC Time Burden (Hours)	12	12
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Supporting Statement	DRAFT ICR A11 Section 280 Clearance - Longshore ECOMP Survey.docx	08/28/2024

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