View Information Collection (IC)
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View Information Collection (IC)
View Information Collection (IC)
IC Title:
Employee Benefits Security Administration Participant Assistance Program Customer Survey
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
Other-CATI Survey Instrument
US_Department_of_Labor_-_EBSA_CE11_1210_Outbound_2013 .docx
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Income Security
Subfunction:
General Retirement and Disability
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
6,380
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
100 %
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
6,380
0
6,380
0
0
0
Annual IC Time Burden (Hours)
851
0
851
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Employee Benefits Security Administration Participant Assistance Program Customer Survey Justification
Employee Benefits Security Administration Participant Assistance Program Customer Survey Supplemental Supporting Statement(20130724).docx
07/24/2013
Office of the Chief Evaluation Officer Approval
CEO Approval.pdf
07/23/2013
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.