Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Brand Lift Study for Soliciting Feedback for the Department of Labor Employment and Benefits Security Administration's integrated communications campaign Unchanged 800 200 0 Other-Online Survey
Other-Consent Form
CareerOneStop Customer Experience Form Unchanged 1000 50 0 Form and Instruction N/A CareerOneStop Customer Experience Form
CareerOneStop Customer Experience Form Unchanged 1000 50 0 Form and Instruction NA CareerOneStop Survey Questions
Customer Experience Survey for Claimants who are Attending Black Lung Outreach Events Unchanged 500 42 0 Form NA Customer Experience Survey for Claimants who are Attending Black Lung Outreach Events
Customer Experience Survey for Feedback on Claimants Who have Refiled Claims since Updated Application Forms Unchanged 500 42 0 Form N/A CX Survey - Claimants Refiled After Form Updates
Instruction
Customer Experience and Equity Assessment Survey Unchanged 3156 263 0 Form and Instruction NA Customer Experience and Equity Assessment Survey
Customer Interviews for Soliciting Feedback about the Department of Labor Employment and Benefits Security Administration Unchanged 15 10 0 Form and Instruction NA EBSA Customer Interviews Discussion Guide
DOL OWCP Division of Energy Employees Occupational Illness Compensation (DEEOIC) - Web Survey for Soliciting Feedback - Spanish Unchanged 300 25 0 Form and Instruction NA Spanish Language Web Feedback Survey
DOL OWCP Black Lung - Claimants with Pending Claim Unchanged 500 42 0 Form NA OWCP Black Lung CX Survey - Claimants with a Pending Claim
Instruction
DOL OWCP Web Survey for Soliciting Feedback for Division of Energy Employees Occupational Illness Compensation (DEEOIC) Energy Document Portal Unchanged 5000 417 0 Form and Instruction NA EDP Survey Update
ETA - CareerOneStop Customer Experience Form Unchanged 3000 150 0 Form and Instruction N/A 2023 API Customer Satisfaction Survey Questions
ETA CareerOneStop Customer Experience Form Unchanged 3000 150 0 Form and Instruction N/A COS TouchPoints Survey Questions
Electronic Survey for Soliciting Feedback for the Heat Illness Prevention Campaign Newsletter Unchanged 10000 500 0 Form Form 1 Electronic Survey for Soliciting Feedback for the Heat Illness Prevention Campaign Newsletter
Employee Training Administration- Job Seeking and Career Advancement Customer Interviews Unchanged 31 31 0 Form and Instruction N/A ETA - Job Seeking and Career Advancement Interview Questions
Federal Black Lung Program Customer Experience Survey Unchanged 500 83 0 Form NA Federal Black Lung Program Customer Experience Survey
Instruction
OSHA Post-Transaction VPP Approval Survey Unchanged 80 8 0 Form N/A OSHA VPP Approval Survey
OSHA SGE Focus Group for VPP Modernization Unchanged 24 24 0 Form NA Focus Group Script OSHA
OSHA Screening Survey for SGE Focus Group for VPP Modernization Unchanged 1100 275 0 Form and Instruction NA OSHA Screener Survey
OSHA Voluntary Protection Program (VPP) Participants and Special Government Employee Customer Interviews Unchanged 18 16 0 Instruction
OWCP - Web-based Survey for Soliciting Webinar Feedback for Division of Energy Employees Occupational Illness Compensation (DEEOIC) Unchanged 4000 333 0 Form and Instruction N/A DEEOIC Webinar Survey
OWCP Black Lung Worker's Compensation Program End-to-End Experience Customer Interviews Unchanged 16 16 0 Instruction
OWCP Customer Experience Survey for claimants who are attending Black Lung Outreach events Unchanged 500 42 0 Form and Instruction N/A Outreach Survey
OWCP Customer Feedback at Outreach Event for Division of Energy Employees Occupational Illness Compensation (Paper) Unchanged 600 50 0 Form and Instruction NA Customer Feedback at Outreach Event for Division of Energy Employees Occupational Illness Compensation (DEEOIC)
OWCP DCMWC Customer Experience Survey for Feedback on Claimants who Recently Received a Decision Unchanged 500 42 0 Form N/A OWCP DCMWC Customer Experience Survey for Feedback on Claimants who Recently Received a Decision
Other-Intro Letter to Form
OWCP DEEOIC End-to-End Experience Customer Interviews Unchanged 16 16 0 Instruction
OWCP DEEOIC Focus Groups Unchanged 80 80 0 Instruction
OWCP DEEOIC Outreach Event Feedback Form Unchanged 800 67 0 Form N/A OWCP DEEOIC Outreach Event Feedback Form
OWCP DEEOIC Revised Phone Survey Unchanged 5000 333 0 Instruction
OWCP FECA Program Customer Experience Survey Modified 10000 500 0 Form and Instruction FECA-CX-1 OWCP FECA Program Customer Experience Survey
OWCP Focus groups for collecting customer feedback for Division of Energy Employees Occupational Illness Compensation (DEEOIC) Unchanged 120 120 0 Instruction
OWCP Longshore ECOMP - Help Us Improve Our Program Unchanged 1620 135 0 Form and Instruction NA Longshore ECOMP - Help us Improve Our Program
OWCP Longshore Voluntary Demographic Information Unchanged 1620 135 0 Form and Instruction NA Longshore ECOMP-Instrument (1st Survey)
OWCP Medical Bill Processing Questionnaire Unchanged 150 10 0 Form and Instruction N/A OWCP Medical Bill Processing Questionnaire
OWCP Paper Survey for Medical Travel Reimbursement (DEEOIC) Unchanged 2000 167 0 Form and Instruction NA Medical Travel Survey
OWCP Paper Survey for Soliciting Feedback for Division of Energy Employees Occupational Illness Compensation (DEEOIC) from Claimants Who Recently Received a Final Letter Decision Unchanged 2000 167 0 Form N/A OWCP DEEOIC CUSTOMER EXPERIENCE SURVEY
OWCP Paper Survey for Soliciting Feedback for Division of Energy Employees Occupational Illness Compensation (DEEOIC) from Claimants with Initial Claims for Home Health Care Unchanged 4000 333 0 Form and Instruction N/A DEEOIC Home Health Care Survey
OWCP Paper Survey for Soliciting Feedback for Division of Energy Employees Occupational Illness Compensation (DEEOIC)from Authorized Representatives Unchanged 2000 167 0 Form and Instruction N/A Authorized Representative Survey
OWCP Survey for Soliciting Feedback for Division of Energy Employees Occupational Illness Compensation (DEEOIC) - Final Decision on a Part E Wage Loss/Impairment Claim Unchanged 2000 167 0 Form and Instruction N/A DEEOIC Part E Final Decision Survey and Letter
OWCP Web-based Survey for Soliciting Webinar Feedback for Division of Energy Employees Occupational Illness Compensation (DEEOIC) Unchanged 4000 333 0 Form and Instruction NA DEEOIC Webinar Survey Language
OWCP_ Customer Experience Survey for feedback on claimants with a pending claim Unchanged 500 42 0 Form N/A CX Survey - Claimants with a Pending Claim 4-1-2024
Instruction
OWCP_Customer Experience and Equity Survey in ECOMP for Longshore Program Unchanged 150 12 0 Form and Instruction N/A Longshore Program Customer Experience and Equity Survey
OWCP_Focus groups for collecting customer feedback for Division of Energy Employees Occupational Illness Compensation (DEEOIC) Unchanged 80 80 0 Other-Focus Group Outline
OWCP_Paper Survey for Soliciting Feedback for DEEOIC from claimants who recently received medical travel reimbursement Unchanged 2000 167 0 Form and Instruction N/A Medical Travel Reimbursement Survey
OWCP_Paper Survey for Soliciting Feedback for Division of Energy Employees Occupational Illness Compensation (DEEOIC) from Resource Center Customers Unchanged 1500 125 0 Form and Instruction N/A DEEOIC_Resource Center Survey
Form and Instruction N/A DEEOIC Resource Center Survey_Spanish
OWCP_Paper Survey for Soliciting Feedback for Division of Energy Employees Occupational Illness Compensation (DEEOIC)from claimants who recently received a development letter Unchanged 2000 167 0 Form and Instruction N/A Development Letter Survey
OWCP_Post-event customer feedback survey for Division of Energy Employees Occupational Illness Compensation(DEEOIC)outreach events Unchanged 1000 83 0 Form and Instruction N/A DEEOIC Outreach Event Survey
OWCP_Web Survey for Soliciting Feedback for Division of Energy Employees Occupational Illness Compensation (DEEOIC) Energy Document Portal Unchanged 5000 250 0 Form and Instruction N/A DEEOIC Energy Document Portal Survey
Paper Survey for Soliciting Feedback for Division of Energy Employees Occupational Illness Compensation (DEEOIC) Unchanged 2000 167 0 Form and Instruction N/A Oxygen and Accessories DME Survey
Paper Survey for Soliciting Feedback for Division of Energy Employees Occupational Illness Compensation (DEEOIC) Unchanged 2000 167 0 Form and Instruction 1 DEEOIC Phone Survey
Paper Survey for Soliciting Feedback for Division of Energy Employees Occupational Illness Compensation (DEEOIC)from Authorized Representatives Unchanged 2000 167 0 Form and Instruction NA DEEOIC Authorized Representative Survey
Paper Survey for Soliciting Feedback for OWCP Division of Energy Employees Occupational Illness Compensation (DEEOIC) from Resource Center Customers Unchanged 1500 125 0 Form and Instruction NA DEEOIC Resource Center Customer Service Survey
Phone Survey for Soliciting Feedback for DEEOIC Unchanged 5000 333 0 Form and Instruction 1 DEEOIC Phone Survey
Post-Transaction VPP Reapproval Survey Unchanged 300 30 0 Form and Instruction N/A OSHA VPP Reapproval Survey
Quantitative Web User Experience Testing (Rapid) Survey for Soliciting Feedback for the Department of Labor Employment and Benefits Security Administration Website Unchanged 500 167 0 Other-Form, Instruction, and Consent Form
Quantitative Web User Experience Testing (Rapid) Survey for Soliciting Feedback for the Department of Labor Employment and Benefits Security Administration Website Unchanged 900 300 0 Form and Instruction NA EBSA Quantitative Web UX Testing Rapid Survey
Recruiting and Screening Customers for Customer Interviews for Soliciting Feedback for the Department of Labor Employment and Benefits Security Administration Unchanged 15 3 0 Form and Instruction NA EBSA Customer Interviews Recruitment Screener Questions
Survey for Soliciting Feedback for DEEOIC. Unchanged 4000 333 0 Form and Instruction 1 Survey for Soliciting Feedback for DEEOIC.
Tree Testing for Soliciting Feedback for the Department of Labor Employment and Benefits Security Administration Website Unchanged 30 15 0 Form and Instruction NA EBSA Tree Testing Baseline Survey
Voluntary Demographic Information Unchanged 3156 263 0 Form and Instruction NA Voluntary Demographic Information
Web Survey for Soliciting Feedback for Division of Energy Employees Occupational Illness Compensation (DEEOIC) Energy Document Portal Unchanged 7000 350 0 Form and Instruction NA Web Survey for Soliciting Feedback for Division of Energy Employees Occupational Illness Compensation (DEEOIC) Energy Document Portal
Wireframe Testing for Soliciting Feedback for the Department of Labor Employment and Benefits Security Administration Website Unchanged 300 75 0 Form and Instruction NA Wireframe Testing for Soliciting Feedback for the Department of Labor EBSA Website
Form and Instruction NA Consent Form for Wireframe Testing for Soliciting Feedback for the Department of Labor EBSA Website
Total Burden Actually Used for Information Collections Under Currently Approved ICR: 112477 9012 0  
Total Burden Currently Requested for Information Collections Under Currently Approved ICR: 0 0 0  
To view an IC, click on IC Title