View Information Collection Request (ICR) Package
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Please note that the OMB number and expiration date may not have been determined when this Information Collection Request and associated Information Collection forms were submitted to OMB. The approved OMB number and expiration date may be found by clicking on the Notice of Action link below.
View Generic ICR - OIRA Conclusion
OMB Control No:
1225-0093
ICR Reference No:
202202-1225-001
Status:
Historical Active
Previous ICR Reference No:
Agency/Subagency:
DOL/DM
Agency Tracking No:
(2020) 1218-0NEW
Title:
Improving Customer Experience (OMB Circular A-11, Section 280 Implementation) for the Department of Labor (DOL)
Type of Information Collection:
New collection (Request for a new OMB Control Number)
Common Form ICR:
No
Type of Review Request:
Regular
OIRA Conclusion Action:
Approved without change
Conclusion Date:
02/16/2022
Retrieve Notice of Action (NOA)
Date Received in OIRA:
02/16/2022
Terms of Clearance:
Inventory as of this Action
Requested
Previously Approved
Expiration Date
02/29/2024
36 Months From Approved
Responses
2,001,550
0
0
Time Burden (Hours)
101,125
0
0
Cost Burden (Dollars)
0
0
0
Abstract:
This information collection activity provides a means to garner customer and stakeholder feedback in an efficient, timely manner in accordance with the Administration's commitment to improving customer service delivery as discussed in Section 280 of OMB Circular A-11. As discussed in OMB guidance, agencies should identify their highest-impact customer journeys (using customer volume, annual program cost, and/or knowledge of customer priority as weighting factors) and select touchpoints/transactions within those journeys to collect feedback.
Authorizing Statute(s):
None
Citations for New Statutory Requirements:
None
Associated Rulemaking Information
RIN:
Stage of Rulemaking:
Federal Register Citation:
Date:
Not associated with rulemaking
Federal Register Notices & Comments
60-day Notice:
Federal Register Citation:
Citation Date:
85 FR 45928
07/30/2020
30-day Notice:
Federal Register Citation:
Citation Date:
85 FR 82521
12/18/2020
Did the Agency receive public comments on this ICR?
No
Number of Information Collection (IC) in this ICR:
39
IC Title
Form No.
Form Name
CareerOneStop Customer Experience Form
N/A
CareerOneStop Customer Experience Form
CareerOneStop Customer Experience Form
NA
CareerOneStop Survey Questions
Customer Experience Survey for Claimants who are Attending Black Lung Outreach Events
NA
Customer Experience Survey for Claimants who are Attending Black Lung Outreach Events
Customer Experience and Equity Assessment Survey
NA
Customer Experience and Equity Assessment Survey
Customer Interviews for Soliciting Feedback about the Department of Labor Employment and Benefits Security Administration
NA
EBSA Customer Interviews Discussion Guide
DOL OWCP Division of Energy Employees Occupational Illness Compensation (DEEOIC) - Web Survey for Soliciting Feedback - Spanish
NA
Spanish Language Web Feedback Survey
DOL OWCP Black Lung - Claimants with Pending Claim
NA
OWCP Black Lung CX Survey - Claimants with a Pending Claim
DOL OWCP Web Survey for Soliciting Feedback for Division of Energy Employees Occupational Illness Compensation (DEEOIC) Energy Document Portal
NA
EDP Survey Update
Electronic Survey for Soliciting Feedback for the Heat Illness Prevention Campaign Newsletter
Form 1
Electronic Survey for Soliciting Feedback for the Heat Illness Prevention Campaign Newsletter
Employee Training Administration- Job Seeking and Career Advancement Customer Interviews
N/A
ETA - Job Seeking and Career Advancement Interview Questions
Federal Black Lung Program Customer Experience Survey
NA
Federal Black Lung Program Customer Experience Survey
OSHA Voluntary Protection Program (VPP) Participants and Special Government Employee Customer Interviews
OWCP Black Lung Worker's Compensation Program End-to-End Experience Customer Interviews
OWCP Customer Experience Survey for Feedback on Claimants Who Recently Received a Denied Decision
N/A
CX Survey - Denied Claim
OWCP Customer Feedback at Outreach Event for Division of Energy Employees Occupational Illness Compensation (Paper)
NA
Customer Feedback at Outreach Event for Division of Energy Employees Occupational Illness Compensation (DEEOIC)
OWCP DEEOIC End-to-End Experience Customer Interviews
OWCP DEEOIC Focus Groups
OWCP DEEOIC Outreach Event Feedback Form
N/A
OWCP DEEOIC Outreach Event Feedback Form
OWCP DEEOIC Revised Phone Survey
OWCP Focus groups for collecting customer feedback for Division of Energy Employees Occupational Illness Compensation (DEEOIC)
OWCP Longshore ECOMP - Help Us Improve Our Program
NA
Longshore ECOMP - Help us Improve Our Program
OWCP Longshore Voluntary Demographic Information
NA
Longshore ECOMP-Instrument (1st Survey)
OWCP Paper Survey for Medical Travel Reimbursement (DEEOIC)
NA
Medical Travel Survey
OWCP Paper Survey for Medical Travel Reimbursement (DEEOIC)
NA
Medical Travel 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
N/A
DEEOIC Home Health Care 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
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)
NA
DEEOIC Webinar Survey Language
Paper Survey for Soliciting Feedback for Division of Energy Employees Occupational Illness Compensation (DEEOIC)
1
DEEOIC Phone Survey
Paper Survey for Soliciting Feedback for Division of Energy Employees Occupational Illness Compensation (DEEOIC)
N/A
Oxygen and Accessories DME Survey
Paper Survey for Soliciting Feedback for Division of Energy Employees Occupational Illness Compensation (DEEOIC)from Authorized Representatives
NA
DEEOIC Authorized Representative Survey
Paper Survey for Soliciting Feedback for OWCP Division of Energy Employees Occupational Illness Compensation (DEEOIC) from Resource Center Customers
NA
DEEOIC Resource Center Customer Service Survey
Phone Survey for Soliciting Feedback for DEEOIC
1
DEEOIC Phone Survey
Quantitative Web User Experience Testing (Rapid) Survey for Soliciting Feedback for the Department of Labor Employment and Benefits Security Administration Website
Quantitative Web User Experience Testing (Rapid) Survey for Soliciting Feedback for the Department of Labor Employment and Benefits Security Administration Website
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
NA
EBSA Customer Interviews Recruitment Screener Questions
Survey for Soliciting Feedback for DEEOIC.
1
Survey for Soliciting Feedback for DEEOIC.
Tree Testing for Soliciting Feedback for the Department of Labor Employment and Benefits Security Administration Website
NA
EBSA Tree Testing Baseline Survey
Voluntary Demographic Information
NA
Voluntary Demographic Information
Web Survey for Soliciting Feedback for Division of Energy Employees Occupational Illness Compensation (DEEOIC) Energy Document Portal
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
NA, NA
Wireframe Testing for Soliciting Feedback for the Department of Labor EBSA Website
,
Consent Form for Wireframe Testing for Soliciting Feedback for the Department of Labor EBSA Website
ICR Summary of Burden
Total Approved
Previously Approved
Change Due to New Statute
Change Due to Agency Discretion
Change Due to Adjustment in Estimate
Change Due to Potential Violation of the PRA
Annual Number of Responses
2,001,550
0
0
2,001,550
0
0
Annual Time Burden (Hours)
101,125
0
0
101,125
0
0
Annual Cost Burden (Dollars)
0
0
0
0
0
0
Burden increases because of Program Change due to Agency Discretion:
Yes
Burden Increase Due to:
Miscellaneous Actions
Burden decreases because of Program Change due to Agency Discretion:
No
Burden Reduction Due to:
Short Statement:
This is a new data collection.
Annual Cost to Federal Government:
$0
Does this IC contain surveys, censuses, or employ statistical methods?
Yes
Part B of Supporting Statement
Does this ICR request any personally identifiable information (see
OMB Circular No. A-130
for an explanation of this term)? Please consult with your agency's privacy program when making this determination.
No
Does this ICR include a form that requires a Privacy Act Statement (see
5 U.S.C. §552a(e)(3)
)? Please consult with your agency's privacy program when making this determination.
No
Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]?
No
Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]?
No
Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)?
No
Is this ICR related to the Pandemic Response?
No
Agency Contact:
Saleda Perryman
Common Form ICR:
No
On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
(a) It is necessary for the proper performance of agency functions;
(b) It avoids unnecessary duplication;
(c) It reduces burden on small entities;
(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;
(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;
(f) It indicates the retention periods for recordkeeping requirements;
(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:
(i) Why the information is being collected;
(ii) Use of information;
(iii) Burden estimate;
(iv) Nature of response (voluntary, required for a benefit, or mandatory);
(v) Nature and extent of confidentiality; and
(vi) Need to display currently valid OMB control number;
(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.
(i) It uses effective and efficient statistical survey methodology (if applicable); and
(j) It makes appropriate use of information technology.
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
Certification Date:
12/18/2020
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