Information Collection

OWCP FECA Program Customer Experience Survey

IC 268312 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⚠️ Notice: This information collection may be referencing outdated material.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
Form FECA-CX-1 OWCP FECA Program Customer Experience Survey	Form and Instruction
Form FECA-CX-1 OWCP FECA Program Customer Experience Survey OWCP FECA Program Customer Experience Survey	Form and Instruction
FECA-CX-1 OWCP FECA Program Customer Experience Survey Survey for A11 280 FECA April 2025_CX.docx	Form and Instruction
FECA-CX-1 OWCP FECA Program Customer Experience Survey Survey for A11 280 FECA April 2025_CX.docx	Form and Instruction
ICR A11 FECA April 25 OCIO1a.docx Supporting Statement	IC Document
ICR A11 FECA April 25 OCIO1a.docx Supporting Statement	IC Document

IC Title:

OWCP FECA Program Customer Experience Survey

Agency IC Tracking Number:

IC Status: Modified

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	FECA-CX-1			Pop-up	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: 10,000

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	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	10,000	0	10,000
Annual IC Time Burden (Hours)	500	-333	833
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Supporting Statement		04/11/2025

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

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