EBSA Participant Assistance Program Customer Survey

ICR 201912-1210-001

OMB: 1210-0161

Federal Form Document

IC Document Collections
ICR Details
1210-0161 201912-1210-001
Active
DOL/EBSA
EBSA Participant Assistance Program Customer Survey
New collection (Request for a new OMB Control Number)   No
Regular
Approved without change 06/08/2020
Retrieve Notice of Action (NOA) 04/23/2020
  Inventory as of this Action Requested Previously Approved
06/30/2023 36 Months From Approved
11,200 0 0
1,493 0 0
0 0 0

The purpose of this data collection effort is to solicit inquirers’ feedback and compile reports on the applicability and utility of EBSA’s Participant Assistance Program. This survey will collect customer satisfaction data for a sample of private citizens who call into the participant assistance program to ask about their private sector employer provided benefits such as pensions, retirement savings, and health benefits.

None
None

Not associated with rulemaking

  85 FR 5241 01/29/2020
85 FR 22755 04/23/2020
No

1
IC Title Form No. Form Name
EBSA Participant Assistance Program Customer Survey

  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 11,200 0 0 11,200 0 0
Annual Time Burden (Hours) 1,493 0 0 1,493 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No
This is a new program..

$626,128
Yes Part B of Supporting Statement
    No
    No
No
No
No
No
James Butikofer 202 693-8434 Butikofer.James@dol.gov

  No

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:
 
 
 
 
 
 
 
    (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;
 
 
 
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.
04/23/2020


© 2024 OMB.report | Privacy Policy