View Information Collection (IC)

View Information Collection (IC)

View Information Collection (IC)

IC Title:	OWCP Focus groups for collecting customer feedback for Division of Energy Employees Occupational Illness Compensation (DEEOIC)	Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Instruction			DEEOIC Focus Groups Framework FINAL.docx		No		Paper Only

Federal Enterprise Architecture Business Reference Module

Line of Business: Income Security

Subfunction: Survivor Compensation

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 120	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	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	120	0	120	0	0	0
Annual IC Time Burden (Hours)	120	0	120	0	0	0
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

Title	Document	Date Uploaded
ICR A11 Section 280 Clearance - DEEOIC Focus Groups 2023-2024	ICR A11 Section 280 Clearance - DEEOIC Focus Groups 2023-2024 FINAL.docx	02/03/2023
DOL OWCP DEEOIC Focus Group Consent Form	DOL_DEEOIC_Focus_Group_Consent Form - Final.docx	02/03/2023

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.