THE REPORT FORM IS USED DURING THE
COURSE OF EQUAL PAY AND AGE DISCRIMINATION INVESTIGATIONS OF
COVERED EMPLOYERS, LABOR ORGANIZATIONS AND EMPLOYMENT AGENCIES
UNDER THE EQUAL PAY ACT AND DISCRIMINATION IN EMPLOYMENT ACT.
EMPLOYERS ARE REQUIRED TO COMPUTE THE BACK WAGES DUE THE AFFECTED
EMPLOYEES ON THE REPORT FORM. REQUIRED BY 52 STAT. 1060; 77 STAT.
56; AND STAT. 602.
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.