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

ICR 202504-1225-002

OMB: 1225-0093

Federal Form Document

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	Unchanged
OWCP_Customer Experience and Equity Survey in ECOMP for Longshore Program Form and Instruction	Unchanged
Form FECA-CX-1 OWCP FECA Program Customer Experience Survey Form and Instruction	Modified
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	Unchanged
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	Unchanged
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
Federal Black Lung Program Customer Experience Survey Form	Unchanged
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
Note to Reviewer 1220-0093 Nonsubstantive Change Request 3.docx Justification for No Material/Nonsubstantive Change	2025-04-11
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	Unchanged
270490	OWCP_Customer Experience and Equity Survey in ECOMP for Longshore Program Form and Instruction	Unchanged
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	Unchanged
268312	OWCP FECA Program Customer Experience Survey Form and Instruction	Modified
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	Unchanged
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	Unchanged
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	Federal Black Lung Program Customer Experience Survey Form	Unchanged
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