OMB control number

Improving Customer Experience (OMB Circular A-11, Section 280 Implementation) for the Department of Labor (DOL)

OMB 1225-0093 · DOL/DM.

OMB 1225-0093

This information collection activity provides a means to garner customer and stakeholder feedback in an efficient, timely manner in accordance with the Administration's commitment to improving customer service delivery as discussed in Section 280 of OMB Circular A-11. As discussed in OMB guidance, agencies should identify their highest-impact customer journeys (using customer volume, annual program cost, and/or knowledge of customer priority as weighting factors) and select touchpoints/transactions within those journeys to collect feedback.

The latest form for Improving Customer Experience (OMB Circular A-11, Section 280 Implementation) for the Department of Labor (DOL) expires 2027-01-31 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
OWCP DEEOIC CUSTOMER EXPERIENCE SURVEY Form
OWCP Paper Survey for Soliciting Feedback for Division of Energy Employees Occupational Illness Compensation (DEEOIC) from Claimants Who Recently Received a Final Letter Decision Form
OWCP DCMWC Customer Experience Survey for Feedback on Claimants who Recently Received a Decision Form
OWCP DCMWC Customer Experience Survey for Feedback on Claimants who Recently Received a Decision Form
Medical Travel Reimbursement Survey Form and Instruction
OWCP Paper Survey for Soliciting Feedback for DEEOIC from Claimants Who Recently Received Medical Travel Reimbursement Form and Instruction
Longshore Program Customer Experience and Equity Survey Form and Instruction
OWCP Customer Experience and Equity Survey in ECOMP for Longshore Program Form and Instruction
Form FECA-CX-1 OWCP FECA Program Customer Experience Survey Form and Instruction
Form FECA-CX-1 OWCP FECA Program Customer Experience Survey Form and Instruction
Development Letter Survey Form and Instruction
OWCP Paper Survey for Soliciting Feedback for Division of Energy Employees Occupational Illness Compensation (DEEOIC)from claimants who recently received a development letter Form and Instruction
CX Survey - Claimants Refiled After Form Updates Form
Customer Experience Survey for Feedback on Claimants Who have Refiled Claims since Updated Application Forms Form
CX Survey - Claimants with a Pending Claim 4-1-2024 Form
OWCP_ Customer Experience Survey for feedback on claimants with a pending claim Form
DEEOIC Resource Center Survey_Spanish Form and Instruction
DEEOIC_Resource Center Survey Form and Instruction
OWCP_Paper Survey for Soliciting Feedback for Division of Energy Employees Occupational Illness Compensation (DEEOIC) from Resource Center Customers Form and Instruction
DEEOIC Outreach Event Survey Form and Instruction
OWCP_Post-event customer feedback survey for Division of Energy Employees Occupational Illness Compensation(DEEOIC)outreach events Form and Instruction
DEEOIC Energy Document Portal Survey Form and Instruction
OWCP_Web Survey for Soliciting Feedback for Division of Energy Employees Occupational Illness Compensation (DEEOIC) Energy Document Portal Form and Instruction
Outreach Survey Form and Instruction
OWCP Customer Experience Survey for claimants who are attending Black Lung Outreach events Form and Instruction
OSHA VPP Approval Survey Form
OSHA Post-Transaction VPP Approval Survey Form
OSHA VPP Reapproval Survey Form and Instruction
Post-Transaction VPP Reapproval Survey Form and Instruction
DEEOIC Webinar Survey Form and Instruction
OWCP - Web-based Survey for Soliciting Webinar Feedback for Division of Energy Employees Occupational Illness Compensation (DEEOIC) Form and Instruction
COS TouchPoints Survey Questions Form and Instruction
ETA CareerOneStop Customer Experience Form Form and Instruction
Authorized Representative Survey Form and Instruction
OWCP Paper Survey for Soliciting Feedback for Division of Energy Employees Occupational Illness Compensation (DEEOIC)from Authorized Representatives Form and Instruction
OWCP Medical Bill Processing Questionnaire Form and Instruction
OWCP Medical Bill Processing Questionnaire Form and Instruction
OSHA Screener Survey Form and Instruction
OSHA Screening Survey for SGE Focus Group for VPP Modernization Form and Instruction
Focus Group Script OSHA Form
OSHA SGE Focus Group for VPP Modernization Form
2023 API Customer Satisfaction Survey Questions Form and Instruction
ETA - CareerOneStop Customer Experience Form Form and Instruction
Customer Experience and Equity Assessment Survey Form and Instruction
Customer Experience and Equity Assessment Survey Form and Instruction
Voluntary Demographic Information Form and Instruction
Voluntary Demographic Information Form and Instruction
Oxygen and Accessories DME Survey Form and Instruction
Paper Survey for Soliciting Feedback for Division of Energy Employees Occupational Illness Compensation (DEEOIC) Form and Instruction
Consent Form for Wireframe Testing for Soliciting Feedback for the Department of Labor EBSA Website Form and Instruction
Wireframe Testing for Soliciting Feedback for the Department of Labor EBSA Website Form and Instruction
Wireframe Testing for Soliciting Feedback for the Department of Labor Employment and Benefits Security Administration Website Form and Instruction
Customer Experience Survey for Claimants who are Attending Black Lung Outreach Events Form
Customer Experience Survey for Claimants who are Attending Black Lung Outreach Events Form
OWCP Black Lung CX Survey - Claimants with a Pending Claim Form
DOL OWCP Black Lung - Claimants with Pending Claim Form
CareerOneStop Customer Experience Form Form and Instruction
CareerOneStop Customer Experience Form Form and Instruction
Spanish Language Web Feedback Survey Form and Instruction
DOL OWCP Division of Energy Employees Occupational Illness Compensation (DEEOIC) - Web Survey for Soliciting Feedback - Spanish Form and Instruction
EDP Survey Update Form and Instruction
DOL OWCP Web Survey for Soliciting Feedback for Division of Energy Employees Occupational Illness Compensation (DEEOIC) Energy Document Portal Form and Instruction
OWCP DEEOIC Outreach Event Feedback Form Form
OWCP DEEOIC Outreach Event Feedback Form Form
DEEOIC Part E Final Decision Survey and Letter Form and Instruction
OWCP Survey for Soliciting Feedback for Division of Energy Employees Occupational Illness Compensation (DEEOIC) - Final Decision on a Part E Wage Loss/Impairment Claim Form and Instruction
ETA - Job Seeking and Career Advancement Interview Questions Form and Instruction
Employee Training Administration- Job Seeking and Career Advancement Customer Interviews Form and Instruction
EBSA Tree Testing Baseline Survey Form and Instruction
Tree Testing for Soliciting Feedback for the Department of Labor Employment and Benefits Security Administration Website Form and Instruction
EBSA Quantitative Web UX Testing Rapid Survey Form and Instruction
Quantitative Web User Experience Testing (Rapid) Survey for Soliciting Feedback for the Department of Labor Employment and Benefits Security Administration Website Form and Instruction
EBSA Customer Interviews Discussion Guide Form and Instruction
Customer Interviews for Soliciting Feedback about the Department of Labor Employment and Benefits Security Administration Form and Instruction
EBSA Customer Interviews Recruitment Screener Questions Form and Instruction
Recruiting and Screening Customers for Customer Interviews for Soliciting Feedback for the Department of Labor Employment and Benefits Security Administration Form and Instruction
DEEOIC Home Health Care Survey Form and Instruction
OWCP Paper Survey for Soliciting Feedback for Division of Energy Employees Occupational Illness Compensation (DEEOIC) from Claimants with Initial Claims for Home Health Care Form and Instruction
DEEOIC Resource Center Customer Service Survey Form and Instruction
Paper Survey for Soliciting Feedback for OWCP Division of Energy Employees Occupational Illness Compensation (DEEOIC) from Resource Center Customers Form and Instruction
Form BL-CX-01 OWCP Federal Black Lung Program Customer Experience Survey Form
Form BL-CX-01 OWCP Federal Black Lung Program Customer Experience Survey Form
Form Form 1 Electronic Survey for Soliciting Feedback for the Heat Illness Prevention Campaign Newsletter Form
Form Form 1 Electronic Survey for Soliciting Feedback for the Heat Illness Prevention Campaign Newsletter Form
CareerOneStop Survey Questions Form and Instruction
CareerOneStop Customer Experience Form Form and Instruction
Longshore ECOMP-Instrument (1st Survey) Form and Instruction
OWCP Longshore Voluntary Demographic Information Form and Instruction
DEEOIC Authorized Representative Survey Form and Instruction
Paper Survey for Soliciting Feedback for Division of Energy Employees Occupational Illness Compensation (DEEOIC)from Authorized Representatives Form and Instruction
Customer Feedback at Outreach Event for Division of Energy Employees Occupational Illness Compensation (DEEOIC) Form and Instruction
OWCP Customer Feedback at Outreach Event for Division of Energy Employees Occupational Illness Compensation (Paper) Form and Instruction
Longshore ECOMP - Help us Improve Our Program Form and Instruction
OWCP Longshore ECOMP - Help Us Improve Our Program Form and Instruction
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 Form and Instruction
DEEOIC Webinar Survey Language Form and Instruction
OWCP Web-based Survey for Soliciting Webinar Feedback for Division of Energy Employees Occupational Illness Compensation (DEEOIC) Form and Instruction
Medical Travel Survey Form and Instruction
OWCP Paper Survey for Medical Travel Reimbursement (DEEOIC) Form and Instruction
Form 1 DEEOIC Phone Survey Form and Instruction
Form 1 Paper Survey for Soliciting Feedback for Division of Energy Employees Occupational Illness Compensation (DEEOIC) Form and Instruction
Form 1 DEEOIC Phone Survey Form and Instruction
Form 1 Phone Survey for Soliciting Feedback for DEEOIC Form and Instruction
Form 1 Survey for Soliciting Feedback for DEEOIC. Form and Instruction
Form 1 Survey for Soliciting Feedback for DEEOIC. Form and Instruction
Justification for Nonmaterial Change for 1225-0093 - OWCP Changes 2.docx Justification for No Material/Nonsubstantive Change
New ICR Template_A11 Section 280 Clearance 11 16 23.docx Supplementary Document
New ICR Template_A11 Section 280 Clearance 11 16 23.docx Supplementary Document
Supporting Statement B for DOL A 11 Section 280 Improving Customer Experience final.docx Supporting Statement B
1225-0093 Supporting Statement 2023 final 1.18.24.docx Supporting Statement A
1225-0093 Supporting Statement 2023 final 1.18.24.docx Supporting Statement A
OWCP Paper Survey for Soliciting Feedback for Division of Energy Employees Occupational Illness Compensation (DEEOIC) from Claimants Who Recently Received a Final Letter Decision Form
OWCP Paper Survey for Soliciting Feedback for Division of Energy Employees Occupational Illness Compensation (DEEOIC) from Claimants Who Recently Received a Final Letter Decision Form
OWCP DCMWC Customer Experience Survey for Feedback on Claimants who Recently Received a Decision Form
OWCP DCMWC Customer Experience Survey for Feedback on Claimants who Recently Received a Decision Form
OWCP DCMWC Customer Experience Survey for Feedback on Claimants who Recently Received a Decision Other-Intro Letter to Form
OWCP Paper Survey for Soliciting Feedback for DEEOIC from Claimants Who Recently Received Medical Travel Reimbursement Form and Instruction
OWCP Paper Survey for Soliciting Feedback for DEEOIC from Claimants Who Recently Received Medical Travel Reimbursement Form and Instruction
OWCP Customer Experience and Equity Survey in ECOMP for Longshore Program Form and Instruction
OWCP Customer Experience and Equity Survey in ECOMP for Longshore Program Form and Instruction
Brand Lift Study for Soliciting Feedback for the Department of Labor Employment and Benefits Security Administration's integrated communications campaign Other-Online Survey
OWCP Focus Groups for Collecting Customer Feedback for Division of Energy Employees Occupational Illness Compensation (DEEOIC) Other-Focus Group Outline
OWCP FECA Program Customer Experience Survey Form and Instruction
OWCP FECA Program Customer Experience Survey Form and Instruction
OWCP Paper Survey for Soliciting Feedback for Division of Energy Employees Occupational Illness Compensation (DEEOIC)from claimants who recently received a development letter Form and Instruction
OWCP Paper Survey for Soliciting Feedback for Division of Energy Employees Occupational Illness Compensation (DEEOIC)from claimants who recently received a development letter Form and Instruction
Customer Experience Survey for Feedback on Claimants Who have Refiled Claims since Updated Application Forms Form
Customer Experience Survey for Feedback on Claimants Who have Refiled Claims since Updated Application Forms Form
Customer Experience Survey for Feedback on Claimants Who have Refiled Claims since Updated Application Forms Instruction
OWCP_ Customer Experience Survey for feedback on claimants with a pending claim Form
OWCP_ Customer Experience Survey for feedback on claimants with a pending claim Form
OWCP_ Customer Experience Survey for feedback on claimants with a pending claim Instruction
OWCP_Paper Survey for Soliciting Feedback for Division of Energy Employees Occupational Illness Compensation (DEEOIC) from Resource Center Customers Form and Instruction
OWCP_Paper Survey for Soliciting Feedback for Division of Energy Employees Occupational Illness Compensation (DEEOIC) from Resource Center Customers Form and Instruction
OWCP_Paper Survey for Soliciting Feedback for Division of Energy Employees Occupational Illness Compensation (DEEOIC) from Resource Center Customers Form and Instruction
OWCP_Post-event customer feedback survey for Division of Energy Employees Occupational Illness Compensation(DEEOIC)outreach events Form and Instruction
OWCP_Post-event customer feedback survey for Division of Energy Employees Occupational Illness Compensation(DEEOIC)outreach events Form and Instruction
OWCP_Web Survey for Soliciting Feedback for Division of Energy Employees Occupational Illness Compensation (DEEOIC) Energy Document Portal Form and Instruction
OWCP_Web Survey for Soliciting Feedback for Division of Energy Employees Occupational Illness Compensation (DEEOIC) Energy Document Portal Form and Instruction
OWCP Customer Experience Survey for claimants who are attending Black Lung Outreach events Form and Instruction
OWCP Customer Experience Survey for claimants who are attending Black Lung Outreach events Form and Instruction
OSHA Post-Transaction VPP Approval Survey Form
OSHA Post-Transaction VPP Approval Survey Form
Post-Transaction VPP Reapproval Survey Form and Instruction
Post-Transaction VPP Reapproval Survey Form and Instruction
OWCP - Web-based Survey for Soliciting Webinar Feedback for Division of Energy Employees Occupational Illness Compensation (DEEOIC) Form and Instruction
OWCP - Web-based Survey for Soliciting Webinar Feedback for Division of Energy Employees Occupational Illness Compensation (DEEOIC) Form and Instruction
ETA CareerOneStop Customer Experience Form Form and Instruction
ETA CareerOneStop Customer Experience Form Form and Instruction
OWCP Paper Survey for Soliciting Feedback for Division of Energy Employees Occupational Illness Compensation (DEEOIC)from Authorized Representatives Form and Instruction
OWCP Paper Survey for Soliciting Feedback for Division of Energy Employees Occupational Illness Compensation (DEEOIC)from Authorized Representatives Form and Instruction
OWCP Medical Bill Processing Questionnaire Form and Instruction
OWCP Medical Bill Processing Questionnaire Form and Instruction
OSHA Screening Survey for SGE Focus Group for VPP Modernization Form and Instruction
OSHA Screening Survey for SGE Focus Group for VPP Modernization Form and Instruction
OSHA SGE Focus Group for VPP Modernization Form
OSHA SGE Focus Group for VPP Modernization Form
ETA - CareerOneStop Customer Experience Form Form and Instruction
ETA - CareerOneStop Customer Experience Form Form and Instruction
Quantitative Web User Experience Testing (Rapid) Survey for Soliciting Feedback for the Department of Labor Employment and Benefits Security Administration Website Other-Form, Instruction, and Consent Form
Customer Experience and Equity Assessment Survey Form and Instruction
Customer Experience and Equity Assessment Survey Form and Instruction
Voluntary Demographic Information Form and Instruction
Voluntary Demographic Information Form and Instruction
Paper Survey for Soliciting Feedback for Division of Energy Employees Occupational Illness Compensation (DEEOIC) Form and Instruction
Paper Survey for Soliciting Feedback for Division of Energy Employees Occupational Illness Compensation (DEEOIC) Form and Instruction
Wireframe Testing for Soliciting Feedback for the Department of Labor Employment and Benefits Security Administration Website Form and Instruction
Wireframe Testing for Soliciting Feedback for the Department of Labor Employment and Benefits Security Administration Website Form and Instruction
Wireframe Testing for Soliciting Feedback for the Department of Labor Employment and Benefits Security Administration Website Form and Instruction
Customer Experience Survey for Claimants who are Attending Black Lung Outreach Events Form
Customer Experience Survey for Claimants who are Attending Black Lung Outreach Events Form
DOL OWCP Black Lung - Claimants with Pending Claim Form
DOL OWCP Black Lung - Claimants with Pending Claim Form
DOL OWCP Black Lung - Claimants with Pending Claim Instruction
CareerOneStop Customer Experience Form Form and Instruction
CareerOneStop Customer Experience Form Form and Instruction
DOL OWCP Division of Energy Employees Occupational Illness Compensation (DEEOIC) - Web Survey for Soliciting Feedback - Spanish Form and Instruction
DOL OWCP Division of Energy Employees Occupational Illness Compensation (DEEOIC) - Web Survey for Soliciting Feedback - Spanish Form and Instruction
DOL OWCP Web Survey for Soliciting Feedback for Division of Energy Employees Occupational Illness Compensation (DEEOIC) Energy Document Portal Form and Instruction
DOL OWCP Web Survey for Soliciting Feedback for Division of Energy Employees Occupational Illness Compensation (DEEOIC) Energy Document Portal Form and Instruction
OSHA Voluntary Protection Program (VPP) Participants and Special Government Employee Customer Interviews Instruction
OWCP DEEOIC Outreach Event Feedback Form Form
OWCP DEEOIC Outreach Event Feedback Form Form
OWCP Focus groups for collecting customer feedback for Division of Energy Employees Occupational Illness Compensation (DEEOIC) Instruction
OWCP Survey for Soliciting Feedback for Division of Energy Employees Occupational Illness Compensation (DEEOIC) - Final Decision on a Part E Wage Loss/Impairment Claim Form and Instruction
OWCP Survey for Soliciting Feedback for Division of Energy Employees Occupational Illness Compensation (DEEOIC) - Final Decision on a Part E Wage Loss/Impairment Claim Form and Instruction
Employee Training Administration- Job Seeking and Career Advancement Customer Interviews Form and Instruction
Employee Training Administration- Job Seeking and Career Advancement Customer Interviews Form and Instruction
Tree Testing for Soliciting Feedback for the Department of Labor Employment and Benefits Security Administration Website Form and Instruction
Tree Testing for Soliciting Feedback for the Department of Labor Employment and Benefits Security Administration Website Form and Instruction
Quantitative Web User Experience Testing (Rapid) Survey for Soliciting Feedback for the Department of Labor Employment and Benefits Security Administration Website Form and Instruction
Quantitative Web User Experience Testing (Rapid) Survey for Soliciting Feedback for the Department of Labor Employment and Benefits Security Administration Website Form and Instruction
Customer Interviews for Soliciting Feedback about the Department of Labor Employment and Benefits Security Administration Form and Instruction
Customer Interviews for Soliciting Feedback about the Department of Labor Employment and Benefits Security Administration Form and Instruction
Recruiting and Screening Customers for Customer Interviews for Soliciting Feedback for the Department of Labor Employment and Benefits Security Administration Form and Instruction
Recruiting and Screening Customers for Customer Interviews for Soliciting Feedback for the Department of Labor Employment and Benefits Security Administration Form and Instruction
OWCP Paper Survey for Soliciting Feedback for Division of Energy Employees Occupational Illness Compensation (DEEOIC) from Claimants with Initial Claims for Home Health Care Form and Instruction
OWCP Paper Survey for Soliciting Feedback for Division of Energy Employees Occupational Illness Compensation (DEEOIC) from Claimants with Initial Claims for Home Health Care Form and Instruction
OWCP Black Lung Worker's Compensation Program End-to-End Experience Customer Interviews Instruction
OWCP DEEOIC End-to-End Experience Customer Interviews Instruction
Paper Survey for Soliciting Feedback for OWCP Division of Energy Employees Occupational Illness Compensation (DEEOIC) from Resource Center Customers Form and Instruction
Paper Survey for Soliciting Feedback for OWCP Division of Energy Employees Occupational Illness Compensation (DEEOIC) from Resource Center Customers Form and Instruction
OWCP Federal Black Lung Program Customer Experience Survey Form
OWCP Federal Black Lung Program Customer Experience Survey Form
OWCP Federal Black Lung Program Customer Experience Survey Instruction
Electronic Survey for Soliciting Feedback for the Heat Illness Prevention Campaign Newsletter Form
Electronic Survey for Soliciting Feedback for the Heat Illness Prevention Campaign Newsletter Form
CareerOneStop Customer Experience Form Form and Instruction
CareerOneStop Customer Experience Form Form and Instruction
OWCP Longshore Voluntary Demographic Information Form and Instruction
OWCP Longshore Voluntary Demographic Information Form and Instruction
Paper Survey for Soliciting Feedback for Division of Energy Employees Occupational Illness Compensation (DEEOIC)from Authorized Representatives Form and Instruction
Paper Survey for Soliciting Feedback for Division of Energy Employees Occupational Illness Compensation (DEEOIC)from Authorized Representatives Form and Instruction
OWCP Customer Feedback at Outreach Event for Division of Energy Employees Occupational Illness Compensation (Paper) Form and Instruction
OWCP Customer Feedback at Outreach Event for Division of Energy Employees Occupational Illness Compensation (Paper) Form and Instruction
OWCP Longshore ECOMP - Help Us Improve Our Program Form and Instruction
OWCP Longshore ECOMP - Help Us Improve Our Program Form and Instruction
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 Form and Instruction
OWCP DEEOIC Focus Groups Instruction
OWCP Web-based Survey for Soliciting Webinar Feedback for Division of Energy Employees Occupational Illness Compensation (DEEOIC) Form and Instruction
OWCP Web-based Survey for Soliciting Webinar Feedback for Division of Energy Employees Occupational Illness Compensation (DEEOIC) Form and Instruction
OWCP Paper Survey for Medical Travel Reimbursement (DEEOIC) Form and Instruction
OWCP Paper Survey for Medical Travel Reimbursement (DEEOIC) Form and Instruction
OWCP DEEOIC Revised Phone Survey Instruction
Paper Survey for Soliciting Feedback for Division of Energy Employees Occupational Illness Compensation (DEEOIC) Form and Instruction
Paper Survey for Soliciting Feedback for Division of Energy Employees Occupational Illness Compensation (DEEOIC) Form and Instruction
Phone Survey for Soliciting Feedback for DEEOIC Form and Instruction
Phone Survey for Soliciting Feedback for DEEOIC Form and Instruction
Survey for Soliciting Feedback for DEEOIC. Form and Instruction
Survey for Soliciting Feedback for DEEOIC. Form and Instruction

All Historical Document Collections

202507-1225-002	No material or nonsubstantive change to a currently approved collection	2025-07-10
202504-1225-002 Approved without change	No material or nonsubstantive change to a currently approved collection	2025-04-11
202503-1225-001	No material or nonsubstantive change to a currently approved collection	2025-03-03
202312-1225-004 Approved without change	Extension without change of a currently approved collection	2023-12-29
202308-1225-003 Approved without change	No material or nonsubstantive change to a currently approved collection	2023-08-29
202202-1225-001 Approved without change	New collection (Request for a new OMB Control Number)	2022-02-16

OMB Details

Survey for Soliciting Feedback for DEEOIC.

Federal Enterprise Architecture: Energy - Energy Resource Management

Form 1

Survey for Soliciting Feedback for DEEOIC.

Paper Only

Form and instruction

Review document collections for all forms, instructions, and supporting documents - including paper/printable forms.