Customer Experience Survey for Feedback on Claimants Who have Refiled Claims since Updated Application Forms

Improving Customer Experience (OMB Circular A-11, Section 280 Implementation) for the Department of Labor (DOL)

OMB: 1225-0093

IC ID: 267722

Documents and Forms

Document Name Document Type
Customer Experience Survey for Feedback on Claimants Who have Refiled Claims since Updated Application Forms Form
Customer Experience Survey for Feedback on Claimants Who have Refiled Claims since Updated Application Forms Form
CX Survey - Claimants Refiled After Form Updates CX Survey-Claimants Refiled After Form Updates 5-16-2024.docx Form
Black Lung Survey- Pending Claim - Instructions Final.docx Instruction
DCMWC - ICR _A11 Section 280 Clearance -Survey to refiled Claimants since form updates_MN clean.docx Supporting Statement IC Document