Department of Labor Generic Clearance for Outreach Activities

Forms and Documents

Document Name	Status
Apprenticeship Information Benefitting Veterans Form and Instruction	Unchanged
WHD Contact Us - web form Form and Instruction	Unchanged
Form Not Available Digital Transformation Basic Web User Experience Survey Form and Instruction	Unchanged
Form Not Available DOL Job Opportunities Outreach Subscriber Collection Form and Instruction	Unchanged
Form Not Available VETS Speaker Request Form and Instruction	Unchanged
Form Not Available Vendor Outreach Session Collection Form and Instruction	Unchanged
Form Not Available API Registration Questions Form	Unchanged
DOL National Contact Center, Contact Us Form Form and Instruction	Unchanged
Advisory Committee on Apprenticeship (ACA) Membership Solicitation Form and Instruction	Unchanged
ETA Apprentice Trailblazer Application Form and Instruction	Unchanged
OSHA National Heat Photo Contest Submission Form Form	Unchanged
Family Medical Leave Act's (FMLA) 30th Anniversary Webinar Series Form and Instruction	Unchanged
Customer Satisfaction Survey for Benefits.gov Form and Instruction	Unchanged
Form 2022 Apprenticeship Ambassadors Initiative (2022) Form and Instruction	Unchanged
ETA Apprenticeship Ambassadors Initiative Form and Instruction	Unchanged
National Apprenticeship Week Event Registration Forms Form and Instruction	Unchanged
Nonmaterial or Nonsub Change Request (1225-0059) (September 2024).docx Justification for No Material/Nonsubstantive Change	2024-09-10
Generic Clearance Submission Template (1225-0059) (updated September 2024).docx Supplementary Document	2024-09-10
Non-Sub Change Justification for 1225-0059 OSHA National Heat Photo Contest Submission Form.docx Justification for No Material/Nonsubstantive Change	2024-05-08
Supporting Statement (OMB Control No. 1225-0059) Part A final.docx Supporting Statement A	2023-12-21
Supporting Statement (OMB Control No. 1225-0059) Part B final 12.22.23.docx Supporting Statement B	2023-12-22

IC Document Collections

IC ID	Document Title	Status
270613	Apprenticeship Information Benefitting Veterans Form and Instruction	Unchanged
269223	Infrastructure Learning Community (ILC) Focus Group Other-webpage	Unchanged
269008	Apprenticeship Ambassador Application 2024 Other-webpage	Unchanged
268441	WHD Contact Us - web form Form and Instruction	Unchanged
267881	Digital Transformation Basic Web User Experience Survey Form and Instruction	Unchanged
267878	DOL Job Opportunities Outreach Subscriber Collection Form and Instruction	Unchanged
267876	VETS Speaker Request Form and Instruction	Unchanged
267810	Vendor Outreach Session Collection Form and Instruction	Unchanged
265821	ABA Grant TA Satisfaction Polls Other-Online Survey	Unchanged
265594	Apprentice Trailblazer Commitment Form Other-webpage	Unchanged
265593	Apprenticeship Ambassador Commitment Reporting Other-webpage	Unchanged
265592	National Apprenticeship Week Event and Proclamation Forms Other-application	Unchanged
265589	Youth Apprenticeship Week Event and Proclamation Forms Other-application	Unchanged
265584	EBSA "Lost & Found Portal" Collection 1: Design Review Other-	Unchanged
263196	API Registration Questions Form	Unchanged
262739	Apprenticeship Ambassador Commitment Reporting Other-Online Survey	Unchanged
262715	ABA Grant Webinar Satisfaction Polls Other-Poll	Unchanged
261412	DOL National Contact Center, Contact Us Form Form and Instruction	Unchanged
260681	Advisory Committee on Apprenticeship (ACA) Membership Solicitation Form and Instruction	Unchanged
259167	ETA Apprentice Trailblazer Application Form and Instruction	Unchanged
259038	OSHA National Heat Photo Contest Submission Form Form	Unchanged
258485	Family Medical Leave Act's (FMLA) 30th Anniversary Webinar Series Form and Instruction	Unchanged
254941	Customer Satisfaction Survey for Benefits.gov Form and Instruction	Unchanged
254534	Apprenticeship Ambassadors Initiative (2022) Form and Instruction	Unchanged
249665	ETA Apprenticeship Ambassadors Initiative Form and Instruction	Unchanged
249610	ETA Integrated Case Management Initiative Journey Mapping Other-Interview Guides	Unchanged
248646	National Apprenticeship Week Event Registration Forms Form and Instruction	Unchanged

ICR Details

OMB Control No: 1225-0059	ICR Reference No: 202409-1225-001
Status: Received in OIRA	Previous ICR Reference No: 202404-1225-001
Agency/Subagency: DOL/DM	Agency Tracking No:
Title: Department of Labor Generic Clearance for Outreach Activities
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular	Date Submitted to OIRA: 09/10/2024

	Requested	Previously Approved
Expiration Date	02/28/2027	02/28/2027
Responses	800,000	800,000
Time Burden (Hours)	80,000	80,000
Cost Burden (Dollars)	0	0

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Abstract: The information collections under OMB Control No. 1225-0059 will be designed to support outreach opportunities related to a wide range of agency responsibilities including, but not limited to: • pension programs, • occupational safety and health programs, • mine safety and health programs, • veterans’ programs, • employment and training programs, • statistical programs, and • labor management standards.

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Authorizing Statute(s): None

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:
	88 FR 62401	09/11/2023
30-day Notice:	Federal Register Citation:	Citation Date:
	88 FR 89730	12/28/2023
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 27

IC Title	Form No.	Form Name
ABA Grant TA Satisfaction Polls
ABA Grant Webinar Satisfaction Polls
API Registration Questions	Not Available	API Registration Questions
Advisory Committee on Apprenticeship (ACA) Membership Solicitation	NA	ACA Nomination Form
Apprentice Trailblazer Commitment Form
Apprenticeship Ambassador Application 2024
Apprenticeship Ambassador Commitment Reporting
Apprenticeship Ambassador Commitment Reporting
Apprenticeship Ambassadors Initiative (2022)	2022	Application for Apprenticeship Ambassador
Apprenticeship Information Benefitting Veterans	N/A	Apprenticeship Information Benefitting Veterans Questions
Customer Satisfaction Survey for Benefits.gov	NA	Customer Satisfaction Survey for Benefits.gov
DOL Job Opportunities Outreach Subscriber Collection	Not Available	GovDelivery Sign Up Data
DOL National Contact Center, Contact Us Form	NA, NA	DOL NCC Contact Us Form ,   DOL Interaction Survey
Digital Transformation Basic Web User Experience Survey	Not Available	CSATPilotSurveyQuestions
EBSA "Lost & Found Portal" Collection 1: Design Review
ETA Apprentice Trailblazer Application	N/A	Apprentice Trailblazer Application
ETA Apprenticeship Ambassadors Initiative	NA	Application for Apprenticeship Ambassador
ETA Integrated Case Management Initiative Journey Mapping
Family Medical Leave Act's (FMLA) 30th Anniversary Webinar Series	NA	WB FMLA Customer Service Survey
Infrastructure Learning Community (ILC) Focus Group
National Apprenticeship Week Event Registration Forms	NA	National Apprenticeship Week Registration Forms
National Apprenticeship Week Event and Proclamation Forms
OSHA National Heat Photo Contest Submission Form	N/A	OSHA National Heat Photo Contest Submission Form
VETS Speaker Request	Not Available	VETS Speaker Request Form
Vendor Outreach Session Collection	Not Available	Voluntary Questions for Vendor Outreach Registration
WHD Contact Us - web form	N/A	WHD Contact Us -- Web form
Youth Apprenticeship Week Event and Proclamation Forms

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ICR Summary of Burden

	Total Request	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	800,000	800,000	0	0	0	0
Annual Time Burden (Hours)	80,000	80,000	0	0	0	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:

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Annual Cost to Federal Government: $0

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? No

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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: 09/10/2024

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