United States Department of Labor National Contact Center Mailing List Request Form

DOL Generic Solution for Customer Satisfaction Surveys and Conference Evaluations

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1225-0059 can be found here:

Documents and Forms

Document Name Document Type
United States Department of Labor National Contact Center Mailing List Request Form Form and Instruction
United States Department of Labor National Contact Cente Sample Email.docx Form and Instruction
US DOL National Contact Center Mailing List Request Form.doc United States Department of Labor National Contact Center Mailing List Request Form Justification IC Document

Information Collection (IC) Details

IC Title:	United States Department of Labor National Contact Center Mailing List Request Form	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
Form and Instruction	NA	United States Department of Labor National Contact Center Mailing List Request Form	Sample Email.docx		Yes	Yes	Fillable Fileable

Line of Business: General Government

Subfunction: Central Records & Statistical Mgt

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 85,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	85,000	85,000
Annual IC Time Burden (Hours)	2,833	2,833
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
United States Department of Labor National Contact Center Mailing List Request Form Justification	US DOL National Contact Center Mailing List Request Form.doc	11/09/2013

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.