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 Unchanged 1000 50 0 Form and Instruction NA
Customer Experience Survey for Claimants who are Attending Black Lung Outreach Events Removed 0 0 0 Form NA
Customer Experience Survey for Feedback on Claimants Who have Refiled Claims since Updated Application Forms Unchanged 500 42 0 Form N/A
Instruction
Customer Experience and Equity Assessment Survey Unchanged 3156 263 0 Form and Instruction NA
Customer Interviews for Soliciting Feedback about the Department of Labor Employment and Benefits Security Administration Unchanged 15 10 0 Form and Instruction NA
DOL OWCP Division of Energy Employees Occupational Illness Compensation (DEEOIC) - Web Survey for Soliciting Feedback - Spanish Unchanged 300 25 0 Form and Instruction NA
DOL OWCP Black Lung - Claimants with Pending Claim Unchanged 500 42 0 Form NA
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
ETA - CareerOneStop Customer Experience Form Unchanged 3000 150 0 Form and Instruction N/A
ETA CareerOneStop Customer Experience Form Unchanged 3000 150 0 Form and Instruction N/A
Electronic Survey for Soliciting Feedback for the Heat Illness Prevention Campaign Newsletter Unchanged 10000 500 0 Form Form 1
Employee Training Administration- Job Seeking and Career Advancement Customer Interviews Unchanged 31 31 0 Form and Instruction N/A
OSHA Post-Transaction VPP Approval Survey Unchanged 80 8 0 Form N/A
OSHA SGE Focus Group for VPP Modernization Unchanged 24 24 0 Form NA
OSHA Screening Survey for SGE Focus Group for VPP Modernization Unchanged 1100 275 0 Form and Instruction NA
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
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
OWCP Customer Experience and Equity Survey in ECOMP for Longshore Program Modified 150 12 0 Form and Instruction N/A
OWCP Customer Feedback at Outreach Event for Division of Energy Employees Occupational Illness Compensation (Paper) Unchanged 600 50 0 Form and Instruction NA
OWCP DCMWC Customer Experience Survey for Feedback on Claimants who Recently Received a Decision Unchanged 500 42 0 Form N/A
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 Revised Phone Survey Unchanged 5000 333 0 Instruction
OWCP FECA Program Customer Experience Survey Unchanged 10000 500 0 Form and Instruction FECA-CX-1
OWCP Federal Black Lung Program Customer Experience Survey Modified 1500 125 0 Form BL-CX-01
Instruction
OWCP Focus Groups for Collecting Customer Feedback for Division of Energy Employees Occupational Illness Compensation (DEEOIC) Modified 80 80 0 Other-Focus Group Outline
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
OWCP Longshore Voluntary Demographic Information Unchanged 1620 135 0 Form and Instruction NA
OWCP Medical Bill Processing Questionnaire Unchanged 150 10 0 Form and Instruction N/A
OWCP Paper Survey for Medical Travel Reimbursement (DEEOIC) Unchanged 2000 167 0 Form and Instruction NA
OWCP Paper Survey for Soliciting Feedback for DEEOIC from Claimants Who Recently Received Medical Travel Reimbursement Modified 2000 167 0 Form and Instruction N/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 Unchanged 2000 167 0 Form N/A
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
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
OWCP Paper Survey for Soliciting Feedback for Division of Energy Employees Occupational Illness Compensation (DEEOIC)from claimants who recently received a development letter Modified 2000 167 0 Form and Instruction N/A
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
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
OWCP_ Customer Experience Survey for feedback on claimants with a pending claim Unchanged 500 42 0 Form N/A
Instruction
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
Form and Instruction N/A
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
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
Paper Survey for Soliciting Feedback for Division of Energy Employees Occupational Illness Compensation (DEEOIC) Unchanged 2000 167 0 Form and Instruction N/A
Paper Survey for Soliciting Feedback for Division of Energy Employees Occupational Illness Compensation (DEEOIC) Unchanged 2000 167 0 Form and Instruction 1
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
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
Phone Survey for Soliciting Feedback for DEEOIC Unchanged 5000 333 0 Form and Instruction 1
Post-Transaction VPP Reapproval Survey Unchanged 300 30 0 Form and Instruction N/A
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
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
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
Survey for Soliciting Feedback for DEEOIC. Unchanged 4000 333 0 Form and Instruction 1
Tree Testing for Soliciting Feedback for the Department of Labor Employment and Benefits Security Administration Website Unchanged 30 15 0 Form and Instruction NA
Voluntary Demographic Information Unchanged 3156 263 0 Form and Instruction NA
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
Wireframe Testing for Soliciting Feedback for the Department of Labor Employment and Benefits Security Administration Website Unchanged 300 75 0 Form and Instruction NA
Form and Instruction NA
Total Burden Actually Used for Information Collections Under Currently Approved ICR: 112977 9012 0  
Total Burden Currently Requested for Information Collections Under Currently Approved ICR: 0 0 0  
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