Survey of Actual and Alleged Victims of Employment Discrimination

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
28972	Survey of Actual and Alleged Victims of Employment Discrimination	Migrated

ICR Details

OMB Control No: 3035-0026	ICR Reference No: 200001-3035-004
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: CCR	Agency Tracking No:
Title: Survey of Actual and Alleged Victims of Employment Discrimination
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Emergency	Approval Requested By: 01/28/2000
OIRA Conclusion Action: Approved without change	Conclusion Date: 04/12/2000
	Date Received in OIRA: 01/19/2000
Terms of Clearance: Approved as amended by and consistent with the Commission on Civil Right's revisions of 3/20/00, 4/6/00, and 4/12/00. In addition, the Commission agrees to the following terms of clearance: (1) The data generated by this survey shall not be used for statistical purposes. It is a web-based survey and there is no clearly defined sample or universe. Thus, it is innappropriate to draw statistical conclusions from the data. (2) All published reports that use or refer to the data generated by this survey will contain a disclaimer that instructs readers on the limitations of the sampling methodology chosen and further warns of using the data for statistical purposes. (3) Because of the methodoligical limitations described, the Commission will not use the results of this survey to publish percentage breakdowns of responses or frequency counts. (4) OMB requests that the Commission submit for OMB review and comment any language, in any document or report made available to the public, that specifically references this survey or the results of this survey.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	09/30/2000	09/30/2000
Responses	905	0	0
Time Burden (Hours)	905	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: The information collection will be in the form of a survey that targets persons who within the last five years have approached the EEOC with an allegation of employment discrimination. The responses will be tabulated and cited in the Commission's report on EEOC.

Emergency Justfication:

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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:

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Federal Register Notices & Comments

Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
Survey of Actual and Alleged Victims of Employment Discrimination

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ICR Summary of Burden

	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	905	0	0	905	0	0
Annual Time Burden (Hours)	905	0	0	905	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

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? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? Uncollected

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? Uncollected

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? Uncollected

Is this ICR related to the Pandemic Response? Uncollected

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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: 01/19/2000

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