OMB
.report
Search
EBSA Participant Assistance Program Customer Survey
EBSA Participant Assistance Program Customer Survey
OMB: 1210-0161
IC ID: 238857
OMB.report
DOL/EBSA
OMB 1210-0161
ICR 201912-1210-001
IC 238857
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1210-0161 can be found here:
2024-10-22 - Extension without change of a currently approved collection
2021-09-30 - Revision of a currently approved collection
Documents and Forms
Document Name
Document Type
Gallup Customer Service Survery Instrument Final 3-31-2020.docx
Other-Survey Instrument
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
EBSA Participant Assistance Program Customer Survey
Agency IC Tracking Number:
Is this a Common Form?
No
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-Survey Instrument
Gallup Customer Service Survery Instrument Final 3-31-2020.docx
No
Paper Only
Federal Enterprise Architecture Business Reference Module
Line of Business:
Income Security
Subfunction:
General Retirement and Disability
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
11,200
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
0 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
11,200
0
11,200
0
0
0
Annual IC Time Burden (Hours)
1,493
0
1,493
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
No associated records found
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.