Improving Customer Experience (OMB Circular A-11, Section 280 Implementation) for the Department of Labor (DOL)

Forms and Documents

Document Name	Status
OWCP Paper Survey for Soliciting Feedback for Division of Energy Employees Occupational Illness Compensation (DEEOIC) from Claimants Who Recently Received a Final Letter Decision Form	Unchanged
OWCP DCMWC Customer Experience Survey for Feedback on Claimants who Recently Received a Decision Form	Unchanged
OWCP Paper Survey for Soliciting Feedback for DEEOIC from Claimants Who Recently Received Medical Travel Reimbursement Form and Instruction	Modified
OWCP Customer Experience and Equity Survey in ECOMP for Longshore Program Form and Instruction	Modified
Form FECA-CX-1 OWCP FECA Program Customer Experience Survey Form and Instruction	Unchanged
OWCP Paper Survey for Soliciting Feedback for Division of Energy Employees Occupational Illness Compensation (DEEOIC)from claimants who recently received a development letter Form and Instruction	Modified
Customer Experience Survey for Feedback on Claimants Who have Refiled Claims since Updated Application Forms Form	Unchanged
OWCP_ Customer Experience Survey for feedback on claimants with a pending claim Form	Unchanged
OWCP_Paper Survey for Soliciting Feedback for Division of Energy Employees Occupational Illness Compensation (DEEOIC) from Resource Center Customers Form and Instruction	Unchanged
OWCP_Post-event customer feedback survey for Division of Energy Employees Occupational Illness Compensation(DEEOIC)outreach events Form and Instruction	Unchanged
OWCP_Web Survey for Soliciting Feedback for Division of Energy Employees Occupational Illness Compensation (DEEOIC) Energy Document Portal Form and Instruction	Unchanged
OWCP Customer Experience Survey for claimants who are attending Black Lung Outreach events Form and Instruction	Unchanged
OSHA Post-Transaction VPP Approval Survey Form	Unchanged
Post-Transaction VPP Reapproval Survey Form and Instruction	Unchanged
OWCP - Web-based Survey for Soliciting Webinar Feedback for Division of Energy Employees Occupational Illness Compensation (DEEOIC) Form and Instruction	Unchanged
ETA CareerOneStop Customer Experience Form Form and Instruction	Unchanged
OWCP Paper Survey for Soliciting Feedback for Division of Energy Employees Occupational Illness Compensation (DEEOIC)from Authorized Representatives Form and Instruction	Unchanged
OWCP Medical Bill Processing Questionnaire Form and Instruction	Unchanged
OSHA Screening Survey for SGE Focus Group for VPP Modernization Form and Instruction	Unchanged
OSHA SGE Focus Group for VPP Modernization Form	Unchanged
ETA - CareerOneStop Customer Experience Form Form and Instruction	Unchanged
Customer Experience and Equity Assessment Survey Form and Instruction	Unchanged
Voluntary Demographic Information Form and Instruction	Unchanged
Paper Survey for Soliciting Feedback for Division of Energy Employees Occupational Illness Compensation (DEEOIC) Form and Instruction	Unchanged
Wireframe Testing for Soliciting Feedback for the Department of Labor Employment and Benefits Security Administration Website Form and Instruction	Unchanged
Customer Experience Survey for Claimants who are Attending Black Lung Outreach Events Form	Removed
DOL OWCP Black Lung - Claimants with Pending Claim Form	Unchanged
CareerOneStop Customer Experience Form Form and Instruction	Unchanged
DOL OWCP Division of Energy Employees Occupational Illness Compensation (DEEOIC) - Web Survey for Soliciting Feedback - Spanish Form and Instruction	Unchanged
DOL OWCP Web Survey for Soliciting Feedback for Division of Energy Employees Occupational Illness Compensation (DEEOIC) Energy Document Portal Form and Instruction	Unchanged
OWCP DEEOIC Outreach Event Feedback Form Form	Unchanged
OWCP Survey for Soliciting Feedback for Division of Energy Employees Occupational Illness Compensation (DEEOIC) - Final Decision on a Part E Wage Loss/Impairment Claim Form and Instruction	Unchanged
Employee Training Administration- Job Seeking and Career Advancement Customer Interviews Form and Instruction	Unchanged
Tree Testing for Soliciting Feedback for the Department of Labor Employment and Benefits Security Administration Website Form and Instruction	Unchanged
Quantitative Web User Experience Testing (Rapid) Survey for Soliciting Feedback for the Department of Labor Employment and Benefits Security Administration Website Form and Instruction	Unchanged
Customer Interviews for Soliciting Feedback about the Department of Labor Employment and Benefits Security Administration Form and Instruction	Unchanged
Recruiting and Screening Customers for Customer Interviews for Soliciting Feedback for the Department of Labor Employment and Benefits Security Administration Form and Instruction	Unchanged
OWCP Paper Survey for Soliciting Feedback for Division of Energy Employees Occupational Illness Compensation (DEEOIC) from Claimants with Initial Claims for Home Health Care Form and Instruction	Unchanged
Paper Survey for Soliciting Feedback for OWCP Division of Energy Employees Occupational Illness Compensation (DEEOIC) from Resource Center Customers Form and Instruction	Unchanged
Form BL-CX-01 OWCP Federal Black Lung Program Customer Experience Survey Form	Modified
Form Form 1 Electronic Survey for Soliciting Feedback for the Heat Illness Prevention Campaign Newsletter Form	Unchanged
CareerOneStop Customer Experience Form Form and Instruction	Unchanged
OWCP Longshore Voluntary Demographic Information Form and Instruction	Unchanged
Paper Survey for Soliciting Feedback for Division of Energy Employees Occupational Illness Compensation (DEEOIC)from Authorized Representatives Form and Instruction	Unchanged
OWCP Customer Feedback at Outreach Event for Division of Energy Employees Occupational Illness Compensation (Paper) Form and Instruction	Unchanged
OWCP Longshore ECOMP - Help Us Improve Our Program Form and Instruction	Unchanged
Web Survey for Soliciting Feedback for Division of Energy Employees Occupational Illness Compensation (DEEOIC) Energy Document Portal Form and Instruction	Unchanged
OWCP Web-based Survey for Soliciting Webinar Feedback for Division of Energy Employees Occupational Illness Compensation (DEEOIC) Form and Instruction	Unchanged
OWCP Paper Survey for Medical Travel Reimbursement (DEEOIC) Form and Instruction	Unchanged
Form 1 Paper Survey for Soliciting Feedback for Division of Energy Employees Occupational Illness Compensation (DEEOIC) Form and Instruction	Unchanged
Form 1 Phone Survey for Soliciting Feedback for DEEOIC Form and Instruction	Unchanged
Form 1 Survey for Soliciting Feedback for DEEOIC. Form and Instruction	Unchanged
Justification for Nonmaterial Change for 1225-0093 - OWCP Changes 2.docx Justification for No Material/Nonsubstantive Change	2025-07-10
New ICR Template_A11 Section 280 Clearance 11 16 23.docx Supplementary Document	2023-12-22
Supporting Statement B for DOL A 11 Section 280 Improving Customer Experience final.docx Supporting Statement B	2023-12-22
1225-0093 Supporting Statement 2023 final 1.18.24.docx Supporting Statement A	2024-01-19

IC Document Collections

IC ID	Document Title	Status
273498	OWCP Paper Survey for Soliciting Feedback for Division of Energy Employees Occupational Illness Compensation (DEEOIC) from Claimants Who Recently Received a Final Letter Decision Form	Unchanged
272747	OWCP DCMWC Customer Experience Survey for Feedback on Claimants who Recently Received a Decision Form	Unchanged
270724	OWCP Paper Survey for Soliciting Feedback for DEEOIC from Claimants Who Recently Received Medical Travel Reimbursement Form and Instruction	Modified
270490	OWCP Customer Experience and Equity Survey in ECOMP for Longshore Program Form and Instruction	Modified
269430	Brand Lift Study for Soliciting Feedback for the Department of Labor Employment and Benefits Security Administration's integrated communications campaign Other-Online Survey	Unchanged
268423	OWCP Focus Groups for Collecting Customer Feedback for Division of Energy Employees Occupational Illness Compensation (DEEOIC) Other-Focus Group Outline	Modified
268312	OWCP FECA Program Customer Experience Survey Form and Instruction	Unchanged
267735	OWCP Paper Survey for Soliciting Feedback for Division of Energy Employees Occupational Illness Compensation (DEEOIC)from claimants who recently received a development letter Form and Instruction	Modified
267722	Customer Experience Survey for Feedback on Claimants Who have Refiled Claims since Updated Application Forms Form	Unchanged
266504	OWCP_ Customer Experience Survey for feedback on claimants with a pending claim Form	Unchanged
265970	OWCP_Paper Survey for Soliciting Feedback for Division of Energy Employees Occupational Illness Compensation (DEEOIC) from Resource Center Customers Form and Instruction	Unchanged
265969	OWCP_Post-event customer feedback survey for Division of Energy Employees Occupational Illness Compensation(DEEOIC)outreach events Form and Instruction	Unchanged
265967	OWCP_Web Survey for Soliciting Feedback for Division of Energy Employees Occupational Illness Compensation (DEEOIC) Energy Document Portal Form and Instruction	Unchanged
265531	OWCP Customer Experience Survey for claimants who are attending Black Lung Outreach events Form and Instruction	Unchanged
265081	OSHA Post-Transaction VPP Approval Survey Form	Unchanged
265027	Post-Transaction VPP Reapproval Survey Form and Instruction	Unchanged
264864	OWCP - Web-based Survey for Soliciting Webinar Feedback for Division of Energy Employees Occupational Illness Compensation (DEEOIC) Form and Instruction	Unchanged
264005	ETA CareerOneStop Customer Experience Form Form and Instruction	Unchanged
264003	OWCP Paper Survey for Soliciting Feedback for Division of Energy Employees Occupational Illness Compensation (DEEOIC)from Authorized Representatives Form and Instruction	Unchanged
263803	OWCP Medical Bill Processing Questionnaire Form and Instruction	Unchanged
262079	OSHA Screening Survey for SGE Focus Group for VPP Modernization Form and Instruction	Unchanged
262075	OSHA SGE Focus Group for VPP Modernization Form	Unchanged
262029	ETA - CareerOneStop Customer Experience Form Form and Instruction	Unchanged
261169	Quantitative Web User Experience Testing (Rapid) Survey for Soliciting Feedback for the Department of Labor Employment and Benefits Security Administration Website Other-Form, Instruction, and Consent Form	Unchanged
260777	Customer Experience and Equity Assessment Survey Form and Instruction	Unchanged
260771	Voluntary Demographic Information Form and Instruction	Unchanged
260593	Paper Survey for Soliciting Feedback for Division of Energy Employees Occupational Illness Compensation (DEEOIC) Form and Instruction	Unchanged
260486	Wireframe Testing for Soliciting Feedback for the Department of Labor Employment and Benefits Security Administration Website Form and Instruction	Unchanged
260125	Customer Experience Survey for Claimants who are Attending Black Lung Outreach Events Form	Removed
259961	DOL OWCP Black Lung - Claimants with Pending Claim Form	Unchanged
259440	CareerOneStop Customer Experience Form Form and Instruction	Unchanged
259320	DOL OWCP Division of Energy Employees Occupational Illness Compensation (DEEOIC) - Web Survey for Soliciting Feedback - Spanish Form and Instruction	Unchanged
259319	DOL OWCP Web Survey for Soliciting Feedback for Division of Energy Employees Occupational Illness Compensation (DEEOIC) Energy Document Portal Form and Instruction	Unchanged
259126	OSHA Voluntary Protection Program (VPP) Participants and Special Government Employee Customer Interviews Instruction	Unchanged
258583	OWCP DEEOIC Outreach Event Feedback Form Form	Unchanged
258294	OWCP Focus groups for collecting customer feedback for Division of Energy Employees Occupational Illness Compensation (DEEOIC) Instruction	Unchanged
257874	OWCP Survey for Soliciting Feedback for Division of Energy Employees Occupational Illness Compensation (DEEOIC) - Final Decision on a Part E Wage Loss/Impairment Claim Form and Instruction	Unchanged
257454	Employee Training Administration- Job Seeking and Career Advancement Customer Interviews Form and Instruction	Unchanged
257303	Tree Testing for Soliciting Feedback for the Department of Labor Employment and Benefits Security Administration Website Form and Instruction	Unchanged
257302	Quantitative Web User Experience Testing (Rapid) Survey for Soliciting Feedback for the Department of Labor Employment and Benefits Security Administration Website Form and Instruction	Unchanged
257301	Customer Interviews for Soliciting Feedback about the Department of Labor Employment and Benefits Security Administration Form and Instruction	Unchanged
257300	Recruiting and Screening Customers for Customer Interviews for Soliciting Feedback for the Department of Labor Employment and Benefits Security Administration Form and Instruction	Unchanged
256742	OWCP Paper Survey for Soliciting Feedback for Division of Energy Employees Occupational Illness Compensation (DEEOIC) from Claimants with Initial Claims for Home Health Care Form and Instruction	Unchanged
256615	OWCP Black Lung Worker's Compensation Program End-to-End Experience Customer Interviews Instruction	Unchanged
256614	OWCP DEEOIC End-to-End Experience Customer Interviews Instruction	Unchanged
255605	Paper Survey for Soliciting Feedback for OWCP Division of Energy Employees Occupational Illness Compensation (DEEOIC) from Resource Center Customers Form and Instruction	Unchanged
255161	OWCP Federal Black Lung Program Customer Experience Survey Form	Modified
254662	Electronic Survey for Soliciting Feedback for the Heat Illness Prevention Campaign Newsletter Form	Unchanged
254463	CareerOneStop Customer Experience Form Form and Instruction	Unchanged
253908	OWCP Longshore Voluntary Demographic Information Form and Instruction	Unchanged
253784	Paper Survey for Soliciting Feedback for Division of Energy Employees Occupational Illness Compensation (DEEOIC)from Authorized Representatives Form and Instruction	Unchanged
253764	OWCP Customer Feedback at Outreach Event for Division of Energy Employees Occupational Illness Compensation (Paper) Form and Instruction	Unchanged
253693	OWCP Longshore ECOMP - Help Us Improve Our Program Form and Instruction	Unchanged
253323	Web Survey for Soliciting Feedback for Division of Energy Employees Occupational Illness Compensation (DEEOIC) Energy Document Portal Form and Instruction	Unchanged
253286	OWCP DEEOIC Focus Groups Instruction	Unchanged
251709	OWCP Web-based Survey for Soliciting Webinar Feedback for Division of Energy Employees Occupational Illness Compensation (DEEOIC) Form and Instruction	Unchanged
251501	OWCP Paper Survey for Medical Travel Reimbursement (DEEOIC) Form and Instruction	Unchanged
251426	OWCP DEEOIC Revised Phone Survey Instruction	Unchanged
250452	Paper Survey for Soliciting Feedback for Division of Energy Employees Occupational Illness Compensation (DEEOIC) Form and Instruction	Unchanged
249532	Phone Survey for Soliciting Feedback for DEEOIC Form and Instruction	Unchanged
246995	Survey for Soliciting Feedback for DEEOIC. Form and Instruction	Unchanged

ICR Details

OMB Control No: 1225-0093	ICR Reference No: 202507-1225-002
Status: Received in OIRA	Previous ICR Reference No: 202504-1225-002
Agency/Subagency: DOL/DM	Agency Tracking No:
Title: Improving Customer Experience (OMB Circular A-11, Section 280 Implementation) for the Department of Labor (DOL)
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular	Date Submitted to OIRA: 07/10/2025

	Requested	Previously Approved
Expiration Date	01/31/2027	01/31/2027
Responses	2,001,550	2,001,550
Time Burden (Hours)	101,125	101,125
Cost Burden (Dollars)	0	0

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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.

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Authorizing Statute(s): None

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	88 FR 62401	09/11/2023
30-day Notice:	Federal Register Citation:	Citation Date:
	88 FR 89729	12/28/2023
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 60

IC Title	Form No.	Form Name
Brand Lift Study for Soliciting Feedback for the Department of Labor Employment and Benefits Security Administration's integrated communications campaign
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 Survey for Feedback on Claimants Who have Refiled Claims since Updated Application Forms	N/A	CX Survey - Claimants Refiled After Form Updates
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
ETA - CareerOneStop Customer Experience Form	N/A	2023 API Customer Satisfaction Survey Questions
ETA CareerOneStop Customer Experience Form	N/A	COS TouchPoints Survey Questions
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
OSHA Post-Transaction VPP Approval Survey	N/A	OSHA VPP Approval Survey
OSHA SGE Focus Group for VPP Modernization	NA	Focus Group Script OSHA
OSHA Screening Survey for SGE Focus Group for VPP Modernization	NA	OSHA Screener Survey
OSHA Voluntary Protection Program (VPP) Participants and Special Government Employee Customer Interviews
OWCP - Web-based Survey for Soliciting Webinar Feedback for Division of Energy Employees Occupational Illness Compensation (DEEOIC)	N/A	DEEOIC Webinar Survey
OWCP Black Lung Worker's Compensation Program End-to-End Experience Customer Interviews
OWCP Customer Experience Survey for claimants who are attending Black Lung Outreach events	N/A	Outreach Survey
OWCP Customer Experience and Equity Survey in ECOMP for Longshore Program	N/A	Longshore Program Customer Experience and Equity Survey
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 DCMWC Customer Experience Survey for Feedback on Claimants who Recently Received a Decision	N/A	OWCP DCMWC Customer Experience Survey for Feedback on Claimants who Recently Received a Decision
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 FECA Program Customer Experience Survey	FECA-CX-1	OWCP FECA Program Customer Experience Survey
OWCP Federal Black Lung Program Customer Experience Survey	BL-CX-01	OWCP Federal Black Lung Program Customer Experience Survey
OWCP Focus Groups for Collecting Customer Feedback for Division of Energy Employees Occupational Illness Compensation (DEEOIC)
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 Medical Bill Processing Questionnaire	N/A	OWCP Medical Bill Processing Questionnaire
OWCP Paper Survey for Medical Travel Reimbursement (DEEOIC)	NA	Medical Travel Survey
OWCP Paper Survey for Soliciting Feedback for DEEOIC from Claimants Who Recently Received Medical Travel Reimbursement	N/A	Medical Travel Reimbursement Survey
OWCP Paper Survey for Soliciting Feedback for Division of Energy Employees Occupational Illness Compensation (DEEOIC) from Claimants Who Recently Received a Final Letter Decision	N/A	OWCP DEEOIC CUSTOMER EXPERIENCE 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 Paper Survey for Soliciting Feedback for Division of Energy Employees Occupational Illness Compensation (DEEOIC)from Authorized Representatives	N/A	Authorized Representative Survey
OWCP Paper Survey for Soliciting Feedback for Division of Energy Employees Occupational Illness Compensation (DEEOIC)from claimants who recently received a development letter	N/A	Development Letter 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
OWCP_ Customer Experience Survey for feedback on claimants with a pending claim	N/A	CX Survey - Claimants with a Pending Claim 4-1-2024
OWCP_Paper Survey for Soliciting Feedback for Division of Energy Employees Occupational Illness Compensation (DEEOIC) from Resource Center Customers	N/A, N/A	DEEOIC_Resource Center Survey ,   DEEOIC Resource Center Survey_Spanish
OWCP_Post-event customer feedback survey for Division of Energy Employees Occupational Illness Compensation(DEEOIC)outreach events	N/A	DEEOIC Outreach Event Survey
OWCP_Web Survey for Soliciting Feedback for Division of Energy Employees Occupational Illness Compensation (DEEOIC) Energy Document Portal	N/A	DEEOIC Energy Document Portal Survey
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
Post-Transaction VPP Reapproval Survey	N/A	OSHA VPP Reapproval 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

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ICR Summary of Burden

	Total Request	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	2,001,550	0	0	0	0
Annual Time Burden (Hours)	101,125	101,125	0	0	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: This is a new data collection.

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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

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Common Form ICR:  No

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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: 07/10/2025

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