Department of Labor Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery

Forms and Documents

Document Name	Status
Form Ombuds Service Eva Ombuds Referral Form and Satisfaction Survey Form and Instruction	New
Form CCI Survey OFCCP Learning Management System (LMS) Account Creation and Customer Survey Form and Instruction	New
Excellence in Disability Inclusion Award Applicant Survey Form and Instruction	New
Womens' Bureau Event Evaluation Form Form and Instruction	New
Draft_Generic_Clearance_Submission_Template(20110719).docx Supplementary Document	2014-06-29
1225-0088ssb(20170831).doc Supporting Statement B	2017-08-31
1225-0088ssa(20170831).docx Supporting Statement A	2017-08-31

IC Document Collections

IC ID	Document Title	Status
243783	Office of Workers' Compensation Programs Customer Service Stakeholder Survey Other-list of phone survey questions	New
243320	Survey Questionnaire for OSHA Challenge Administrators Other-survey questions	New
242902	User Experience Feedback of Solver Products for the VETS Employment Challenge (Phase V) Other-Screenshots of survey questions	New
242239	User Experience Feedback of Solver Products for the VETS Employment Challenge (Phase IV) Instruction	New
241386	Ombuds Referral Form and Satisfaction Survey Form and Instruction	New
240859	User Experience Feedback of Solver MVP Other-On line survey	New
239880	User Experience Feedback of Solver Wireframes for the VETS Employment Challenge Other-On Line Survey	New
238790	OFCCP Learning Management System (LMS) Account Creation and Customer Survey Form and Instruction	New
238684	OFCCP Website Usability Survey Other-Survey	New
237916	NCS-ORS Stakeholder Survey 2019 Other-Survey	New
237085	Excellence in Disability Inclusion Award Applicant Survey Form and Instruction	New
236855	Womens' Bureau Event Evaluation Form Form and Instruction	New
236065	OTI Evaluation Form 49 Generic IC Other-survey	New
235785	2019 FedCASIC Post-Workshops Survey Other-Web-based	New
235311	Understanding how Quarterly Census of Employment and Wages (QCEW) data are used Other-null	New
235185	Fiduciary Education Campagin Complinace Assistance Survey Other-Survey	New
235184	Health Benefits Education Campaign Compliance Assistance Generic IC Other-survey	New
233907	2018 BLS Stakeholder Outreach Survey Other-Survey	New
232670	External Stakeholders Annual Projections and Real-time Occupational Outlook Handbook Survey Other-Survey	New
231994	Consumer Expenditure Surveys Microdata Users' Workshop Online Feedback Form Other-Survey	New
230842	Bureau of Labor Statistics National Longitudinal Surveys Stakeholder Survey Other-Survey	New
230719	2018 FedCASIC Post-Workshops Survey Other-null	New
230638	Office of Federal Contract Compliance Programs Help-Desk Survey Other-Survey	New
230586	Wage and Hour Division Event Evaluation Form Written Compliance Assistance Tool Evaluation Form Other-Questionnaire	New
230546	Family anad Medical Leave Act Forms Comment Card Other-Form Questions	New
229943	OFCCP Event Comment Card Other-Comment Card	New
229795	HIRE Vets Medallion Program Demonstration Communications Customer Satisfaction Survey Other-Survey	New
229785	Health Benefits Education Campaign Compliance Assistance Survey Other-Survey	New
229438	OFCCP Online Inquiry Intake Form Other-null	New
229437	OFCCP Help Desk Telephone Survey Other-null	New
229436	OFCCP Help Desk E-mail Survey Other-null	New
229435	OFCCP Compliance Assistance Event Evaluation Form Other-null	New
229434	OFCCP Digital Engagement Subscriber Questions Other-Survey	New
229433	OFCCP Compliance Evaluation Experience Survey Other-Survey	New
228800	Occupational Injury and Illness Classification System (OIICS) and CFOI User Survey Other-null	New
228712	Employment First State Leadership Mentoring Program (EFSLMP) Community of Practice (CoP) Webinar Feedback Surveys Other-null	New

ICR Details

OMB Control No: 1225-0088	ICR Reference No: 201701-1225-001
Status: Historical Active	Previous ICR Reference No: 201406-1225-002
Agency/Subagency: DOL/DM	Agency Tracking No:
Title: Department of Labor Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 10/16/2017
	Date Received in OIRA: 08/31/2017
Terms of Clearance: OMB approves this collection for a period of three years. To request approval of information collections under this generic approval, the agency must do the following: 1) Unless an agency is using multiple modes of collection (e.g., paper forms and electronic submissions), provide a Generic Clearance Submission Template for each Instrument; 2) If the agency is using multiple modes of collection (e.g., paper forms and electronic submissions), the same Generic Clearance Submission Template may be used for both instruments; 3) each Generic Clearance Submission Template must be uploaded as a Supplementary document using a naming convention that allows the public to identify the associated instrument; 4) submit no more than five Generic Submission Templates with each request.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	10/31/2020	36 Months From Approved	10/31/2017
Responses	380,000	0	447,751
Time Burden (Hours)	38,000	0	41,461
Cost Burden (Dollars)	0	0	0

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Abstract: This collection of information is necessary to enable the Agency to garner customer and stakeholder feedback in an efficient, timely manner, in accordance with our commitment to improving service delivery. The information collected from our customers and stakeholders will help ensure that users have an effective, efficient, and satisfying experience with the Agency's programs.

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Authorizing Statute(s): EO: EO 12862 Name/Subject of EO: Setting Customer Service Standards
  

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:
	82 FR 27725	06/16/2017
30-day Notice:	Federal Register Citation:	Citation Date:
	82 FR 41430	08/31/2017
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 36

IC Title	Form No.	Form Name
OFCCP Compliance Evaluation Experience Survey
OFCCP Event Comment Card
Bureau of Labor Statistics National Longitudinal Surveys Stakeholder Survey
2019 FedCASIC Post-Workshops Survey
Consumer Expenditure Surveys Microdata Users' Workshop Online Feedback Form
Ombuds Referral Form and Satisfaction Survey	Ombuds Service Evaluation Form, Ombuds Service Referral Form	Ombuds Service Evaluation Form ,   Ombuds Service Referral Form
Office of Workers' Compensation Programs Customer Service Stakeholder Survey
Occupational Injury and Illness Classification System (OIICS) and CFOI User Survey
OFCCP Compliance Assistance Event Evaluation Form
HIRE Vets Medallion Program Demonstration Communications Customer Satisfaction Survey
Family anad Medical Leave Act Forms Comment Card
Office of Federal Contract Compliance Programs Help-Desk Survey
NCS-ORS Stakeholder Survey 2019
External Stakeholders Annual Projections and Real-time Occupational Outlook Handbook Survey
OFCCP Help Desk E-mail Survey
Health Benefits Education Campaign Compliance Assistance Survey
2018 FedCASIC Post-Workshops Survey
2018 BLS Stakeholder Outreach Survey
Womens' Bureau Event Evaluation Form	NA	Womens' Bureay Event Evaluation Form
OFCCP Website Usability Survey
OFCCP Learning Management System (LMS) Account Creation and Customer Survey	CCI Survey	CCI Survey
User Experience Feedback of Solver Products for the VETS Employment Challenge (Phase V)
Employment First State Leadership Mentoring Program (EFSLMP) Community of Practice (CoP) Webinar Feedback Surveys
OFCCP Online Inquiry Intake Form
Fiduciary Education Campagin Complinace Assistance Survey
User Experience Feedback of Solver Products for the VETS Employment Challenge (Phase IV)
Survey Questionnaire for OSHA Challenge Administrators
User Experience Feedback of Solver Wireframes for the VETS Employment Challenge
Understanding how Quarterly Census of Employment and Wages (QCEW) data are used
Health Benefits Education Campaign Compliance Assistance Generic IC
OTI Evaluation Form 49 Generic IC
Excellence in Disability Inclusion Award Applicant Survey	NA	NA
User Experience Feedback of Solver MVP
OFCCP Digital Engagement Subscriber Questions
OFCCP Help Desk Telephone Survey
Wage and Hour Division Event Evaluation Form Written Compliance Assistance Tool Evaluation Form

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ICR Summary of Burden

	Total Approved	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	380,000	447,751	0	0	-67,751	0
Annual Time Burden (Hours)	38,000	41,461	0	0	-3,461	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: Burden changes result from agency experience with the overall information collection since its most recent approval tempered by an anticipated increased use of customer feedback to improve customer service.

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Annual Cost to Federal Government: $933,200

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? Uncollected

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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: 08/31/2017

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