View Information Collection (IC)
View Information Collection (IC)

View Information Collection (IC)

OWCP Federal Black Lung Program Customer Experience Survey
 
Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form BL-CX-01 No   Paper Only
Instruction No   Paper Only

Income Security Unemployment Compensation

 

1,500 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 1,500 0 1,000 0 0 500
Annual IC Time Burden (Hours) 125 0 42 0 0 83
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Federal Black Lung Program Customer Experience Survey - Supporting Statement 07/10/2025
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
Something went wrong when downloading this file. If you have any questions, please send an email to risc@gsa.gov.