EBSA Participant Assistance Program Customer Survey

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⚠️ Notice: This information collection may be referencing outdated material.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
EBSA_CE11_FY15_ SURVEY 12-18-14.docx Other-Phone Survey
Approval.pdf OCEO Approval for Statistical Methods IC Document
EBSA Customer Satisfaction Study PRA Package Part A.pdf EBSA Participant Assistance Program Customer Survey Justification Part A IC Document
EBSA Customer Satisfaction Study Part B 12172014 CEO final.docx EBSA Customer Satisfaction Study PRA Package Part B Statistical Methods IC Document

Information Collection (IC) Details

IC Title:	EBSA Participant Assistance Program Customer Survey	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
Other-Phone Survey			EBSA_CE11_FY15_ SURVEY 12-18-14.docx		No		Paper Only

Line of Business: General Government

Subfunction: Central Records & Statistical Mgt

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 11,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	11,000	11,000
Annual IC Time Burden (Hours)	1,467	1,467
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
OCEO Approval for Statistical Methods	Approval.pdf	12/23/2014
EBSA Participant Assistance Program Customer Survey Justification Part A	EBSA Customer Satisfaction Study PRA Package Part A.pdf	12/23/2014
EBSA Customer Satisfaction Study PRA Package Part B Statistical Methods	EBSA Customer Satisfaction Study Part B 12172014 CEO final.docx	12/23/2014

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