Signed Statistical Review

U.S. DEPARTMENT OF LABOR
Chief Evaluation Office Concurrence of Surveys Employing Statistical Methods
TO:

Nora Hernandez

DATE PREPARED: 09/28/2021

PHONE: 202-693-8633
FROM:

Scott Gibbons

PHONE: 202-693-5075
ACTION: Review the attached report proposal, indicate approval or disapproval, and return to the sponsoring agency
or program. Comments shall not be made on the proposed report but in the comments space below.

TITLE OF SURVEY OR EVALUATION:

EBSA Participant Assistance Program Customer Survey
CLEARANCE:
__X__ Approved
_____ Disapproved (see below)
_____ Approved with comments (see below)
COMMENTS:
(Insert additional pages as needed)

Disclaimer: CEO is approving only the statistical methodology as presented in the written documentation and not
necessarily passing judgment on the questionnaire itself nor on the necessity of conducting the collection of
information.

SIGNATURE OF REVIEWER

SCOTT
GIBBONS

Digitally signed by SCOTT
GIBBONS
Date: 2021.09.29 08:28:41
-04'00'