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Individual Complaint of Employment Discrimination
Individual Complaint of Employment Discrimination
OMB: 2105-0556
IC ID: 44070
OMB.report
DOT/OST
OMB 2105-0556
ICR 200606-2105-001
IC 44070
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2105-0556 can be found here:
2023-04-18 - Extension without change of a currently approved collection
2020-01-29 - Extension without change of a currently approved collection
Documents and Forms
Document Name
Document Type
no available documents/forms check other ICs listed under this ICR
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Individual Complaint of Employment Discrimination
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Migrated
Obligation to Respond:
Voluntary
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form
F1050-8
No
Form
F1050-9
No
No
Form
F1050-10
No
No
Form
F1050-1
No
No
Form
F1050-2
No
No
Form
F1050-3
No
No
Form
F1050-4
No
No
Form
F1050-5
No
No
Form
F1050-6
No
No
Form
F1050-7
No
No
Federal Enterprise Architecture Business Reference Module
Line of Business:
Subfunction:
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
10
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
0 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
10
0
10
0
0
0
Annual IC Time Burden (Hours)
16
0
16
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.