Information Collection

OWCP Focus groups for collecting customer feedback for Division of Energy Employees Occupational Illness Compensation (DEEOIC)

IC 258294 under ICR 202507-1225-002 · OMB 1225-0093.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
DEEOIC Focus Groups Framework FINAL.docx	Instruction
DEEOIC Focus Groups Framework FINAL.docx	Instruction
ICR A11 Section 280 Clearance - DEEOIC Focus Groups 2023-2024 FINAL.docx ICR A11 Section 280 Clearance - DEEOIC Focus Groups 2023-2024	IC Document
ICR A11 Section 280 Clearance - DEEOIC Focus Groups 2023-2024 FINAL.docx ICR A11 Section 280 Clearance - DEEOIC Focus Groups 2023-2024	IC Document
DOL_DEEOIC_Focus_Group_Consent Form - Final.docx DOL OWCP DEEOIC Focus Group Consent Form	IC Document
DOL_DEEOIC_Focus_Group_Consent Form - Final.docx DOL OWCP DEEOIC Focus Group Consent Form	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
Instruction					No		Paper Only

Line of Business: Income Security

Subfunction: Survivor Compensation

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 120

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	120	120
Annual IC Time Burden (Hours)	120	120
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
ICR A11 Section 280 Clearance - DEEOIC Focus Groups 2023-2024		02/03/2023
DOL OWCP DEEOIC Focus Group Consent Form		02/03/2023

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

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