CHARGE OF DISCRIMINATION

ICR 198011-3046-003

OMB: 3046-0011

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC ID
Document
Title
Status
149310 Migrated
ICR Details
3046-0011 198011-3046-003
Historical Active 197808-3046-014
EEOC
CHARGE OF DISCRIMINATION
Revision of a currently approved collection   No
Regular
Approved without change 01/29/1981
Retrieve Notice of Action (NOA) 11/26/1980
  Inventory as of this Action Requested Previously Approved
12/31/1983 12/31/1983 01/31/1981
20,000 0 45,000
50,000 0 112,500
0 0 0

RESPONDENT IS LOCATED IN A NON-FEDERAL JURISDICTION. THE PURPOSE OF THE FORM IS TO ASSIST PEOPLE WHO BELIEVE THEY HAVE BEEN AGGRIVED TO FILE CHARGES OF EMPLOYMENT DISCRIMINATION. THE DATA IS USED BY EEOC IN ITS INVESTIGATION OF THE ALLEGATIONS RAISED IN THE CHARGE.

None
None


No

1
IC Title Form No. Form Name
CHARGE OF DISCRIMINATION EEOC-5A

  Total Approved 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 20,000 45,000 0 -25,000 0 0
Annual Time Burden (Hours) 50,000 112,500 0 -62,500 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
Yes

$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected

  No

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.
11/26/1980


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