Information Collection

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

IC 253323 under ICR 202507-1225-002 · OMB 1225-0093.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Web Survey for Soliciting Feedback for Division of Energy Employees Occupational Illness Compensation (DEEOIC) Energy Document Portal	Form and Instruction
Web Survey for Soliciting Feedback for Division of Energy Employees Occupational Illness Compensation (DEEOIC) Energy Document Portal Web Survey for Soliciting Feedback for Division of Energy Employees Occupational Illness Compensation (DEEOIC) Energy Document Portal	Form and Instruction
Web Survey for Soliciting Feedback for Division of Energ EDP CX Survey - 5-10-2022.docx	Form and Instruction
Web Survey for Soliciting Feedback for Division of Energ EDP CX Survey - 5-10-2022.docx	Form and Instruction
ICR A11 Section 280 Clearance - DEEOIC EDP Web Survey 5-10-2022.docx Supplementary Supporting Statement - Web Survey for Soliciting Feedback for Division of Energy Employees Occupational Illness Co	IC Document
ICR A11 Section 280 Clearance - DEEOIC EDP Web Survey 5-10-2022.docx Supplementary Supporting Statement - Web Survey for Soliciting Feedback for Division of Energy Employees Occupational Illness Co	IC Document

IC Title:

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	NA				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: 7,000

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	7,000	7,000
Annual IC Time Burden (Hours)	350	350
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Supplementary Supporting Statement - Web Survey for Soliciting Feedback for Division of Energy Employees Occupational Illness Compensation (DEEOIC) Energy Document Portal		05/10/2022

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

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