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Information Collection

OWCP_ Customer Experience Survey for feedback on claimants with a pending claim

IC 266504 under ICR 202507-1225-002 · OMB 1225-0093.

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Form
Instruction
Instruction
Form
Form
IC Document
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Information Collection (IC) Details

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OWCP_ Customer Experience Survey for feedback on claimants with a pending claim
 
Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form N/A CX Survey - Claimants with a Pending Claim 4-1-2024 CX Survey-Claimants with a Pending Claim 4-1-2024.docx No   Paper Only
Instruction Black Lung Survey- Pending Claim - Instructions 4-1-2024.docx No   Paper Only

Income Security General Retirement and Disability

 

500 0
   
Individuals or Households
 
   0 %

  Requested Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 500 0 0 0 0 500
Annual IC Time Burden (Hours) 42 0 0 0 0 42
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Supporting Statement DCMWC - ICR _A11 Section 280 Clearance -Recently received a decision 4-1-2024.docx 04/02/2024
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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