Information Collection

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

IC 265967 under ICR 202504-1225-002 · OMB 1225-0093.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1225-0093 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
OWCP_Web Survey for Soliciting Feedback for Division of Energy Employees Occupational Illness Compensation (DEEOIC) Energy Document Portal	Form and Instruction
DEEOIC Energy Document Portal Survey OWCP_Web Survey for Soliciting Feedback for Division of Energy Employees Occupational Illness Compensation (DEEOIC) Energy Document Portal	Form and Instruction
DEEOIC Energy Document Portal Survey DEEOIC Energy Document Portal Survey March 2024.docx eclaimant.dol.gov	Form and Instruction
DEEOIC Energy Document Portal Survey DEEOIC Energy Document Portal Survey March 2024.docx eclaimant.dol.gov	Form and Instruction
DEEOIC Energy Document Portal March 2024 - ICR_A11 Section 280 Clearance.docx Supporting Statement	IC Document
DEEOIC Energy Document Portal March 2024 - ICR_A11 Section 280 Clearance.docx Supporting Statement	IC Document

IC Title:

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

Agency IC Tracking Number:

IC Status: Unchanged

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	N/A			https://eclaimant.dol.gov	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: 5,000

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	5,000	5,000
Annual IC Time Burden (Hours)	250	250
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Supporting Statement		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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