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Customer Experience Survey for Feedback on Claimants Who have Refiled Claims since Updated Application Forms
Improving Customer Experience (OMB Circular A-11, Section 280 Implementation) for the Department of Labor (DOL)
OMB: 1225-0093
IC ID: 267722
OMB.report
DOL/DM
OMB 1225-0093
ICR 202504-1225-002
IC 267722
( )
Documents and Forms
Document Name
Document Type
Customer Experience Survey for Feedback on Claimants Who have Refiled Claims since Updated Application Forms
Form
CX Survey - Claimants Refiled After Form Updates
CX Survey-Claimants Refiled After Form Updates 5-16-2024.docx
Form
Black Lung Survey- Pending Claim - Instructions Final.docx
Instruction
DCMWC - ICR _A11 Section 280 Clearance -Survey to refiled Claimants since form updates_MN clean.docx
Supporting Statement
IC Document
Information Collection (IC) Details
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