Information Collection

OWCP_Post-event customer feedback survey for Division of Energy Employees Occupational Illness Compensation(DEEOIC)outreach events

IC 265969 under ICR 202507-1225-002 · OMB 1225-0093.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
OWCP_Post-event customer feedback survey for Division of Energy Employees Occupational Illness Compensation(DEEOIC)outreach events	Form and Instruction
DEEOIC Outreach Event Survey OWCP_Post-event customer feedback survey for Division of Energy Employees Occupational Illness Compensation(DEEOIC)outreach events	Form and Instruction
DEEOIC Outreach Event Survey DEEOIC Outreach Event Survey March 2024.pdf	Form and Instruction
DEEOIC Outreach Event Survey DEEOIC Outreach Event Survey March 2024.pdf	Form and Instruction
DEEOIC Outreach Event Survey March 2024 - ICR_A11 Section 280 Clearance.docx Supporting Statement	IC Document
DEEOIC Outreach Event Survey March 2024 - ICR_A11 Section 280 Clearance.docx Supporting Statement	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	N/A				No		Paper Only

Line of Business: Income Security

Subfunction: Survivor Compensation

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 1,000

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	1,000	1,000
Annual IC Time Burden (Hours)	83	83
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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