Skip to main content
An official website of the United States government
The .gov means it's official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you're on a federal government site.
The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.
Search:
Agenda
Reg Review
ICR
Information Collection List
IC Title
Status
Responses
Hours
Dollars
Document Type
Form No.
Form Name
Customer Service Intake Form
Modified
7618
3809
0
Form and Instruction
301
Request for Assistance from Department of Labor, EBSA (English Paper Version)
Form and Instruction
301
Request for Assistance from Department of Labor, EBSA (Spanish Paper Version)
Other-Web Screenshots of Privacy Act and PRA Notices (English)
Other-Web Screenshots of Privacy Act and PRA Notices (Spanish)
Form and Instruction
301
Request for Assistance from Department of Labor, EBSA (English Web Option Screenshots)
Form and Instruction
301
Request for Assistance from Department of Labor, EBSA (Spanish Web Option Screenshots)
Total burden requested under this ICR:
7618
3809
0
To view an IC, click on IC Title