30 Day Notice 2105-0556 EEO Forms

2105-0556_EEO_Forms_30_Day_Notice_2012-29483.pdf

Individual Complaint of Employment Discrimination

30 Day Notice 2105-0556 EEO Forms

OMB: 2105-0556

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Federal Register / Vol. 77, No. 235 / Thursday, December 6, 2012 / Notices
DEPARTMENT OF TRANSPORTATION
Office of the Secretary
[Docket No. OST–2012–0073]

Notice of Request for Information
Collection Approval
Office of the Secretary, DOT.
ACTION: Notice.
AGENCY:

In accordance with the
Paperwork Reduction Act of 1995 (44
U.S.C. 3501 et. seq.), this notice
announces that the U.S. Department of
Transportation (DOT) has forwarded the
Information Collection Request (ICR)
abstracted below to the Office of
Management and Budget (OMB) for
renewal. The ICR describes the nature of
the information collection and its
expected cost and burden hours. The
OMB approved the form in 2009 with its
renewal required by September 30,
2012. The Federal Register Notice with
a 60-day comment period soliciting
comments on the form renewal was
published on May 18, 2012, [FR Vol. 77,
No. 97, page 29747]. No comments were
received.
DATES: Comments on this notice must be
received by January 7, 2013: Attention
DOT/OST Desk Officer, Office of
Information and Regulatory Affairs,
Office of Management and Budget,
Docket Library, Room 10102, 725 17th
Street NW., Washington, DC 20503.
FOR FURTHER INFORMATION CONTACT:
Tami Wright, Associate Director,
Compliance Operations Division (S–34),
Departmental Office of Civil Rights,
Office of the Secretary, U.S. Department
of Transportation, 1200 New Jersey
Avenue SE., Washington, DC 20590,
202–366–9370 or (TTY) 202–366–0663.
SUPPLEMENTARY INFORMATION:
Form Title(s): EEO Counselor
Checklist (DTO F 1050–1); ONE DOT
Sharing Neutrals Program Mediation
Intake (DOT F 1050–2); Agreement to
Mediate (DOT F 1050–3); Exit Survey
for Mediation Participants (DOT F
1050–4); Agreement to Postpone the
Final Interview and to Extend the
Counseling Period (DOT F–1050–5);
Notice of Right to File a Discrimination
Complaint (DOT F 1050–6); Notice of
Rights and Responsibilities (DOT F
1050–7); Individual Complaint of
Employment Discrimination (DOT F
1050–8); Designation of Representative
(DOT F 1050–9); Final Agency Decision
Request (DOT F 1050–10); and Waiver
of Right to Anonymity (DOT F 1050–
11).
OMB Control Number: OMB #2105–
0556.
Abstract: DOT will utilize the forms to
collect information necessary to process

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SUMMARY:

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Equal Employment Opportunity (EEO)
discrimination complaints filed by
individuals who are not Federal
employees and are applicants for
employment with the Department.
These complaints are processed in
accordance with the Equal Employment
Opportunity Commission’s regulations,
29 CFR part 1614, as amended. DOT
will use the forms to: (a) request
requisite information from the applicant
for processing his or her EEO
employment discrimination complaint;
and (b) obtain information to identify an
individual or his or her attorney or other
representative, if appropriate. An
applicant’s filing of an EEO employment
complaint is solely voluntary. DOT
estimates that it takes an applicant
approximately two and one-half hours
to complete the forms.
Affected Public: Job applicants filing
EEO employment discrimination
complaints.
Annual Estimated Burden: 25 hours.
Frequency of Collection: An
applicant’s filing of an EEO complaint is
solely voluntary.
Comments are Invited on: (a) Whether
the proposed collection of information
is reasonable for the proper performance
of the EEO functions of the Department;
(b) the accuracy of the Department’s
estimate of the burden of the proposed
information Collection, including the
validity of methodology and
assumptions used; (c) ways to enhance
the quality, utility, and clarity of the
information to be collected; and (d)
ways to minimize the burden of the
collection of information on those who
are to respond, including use of
appropriate, automated, electronic,
mechanical, or other technology.
Comments should be addressed to the
address in the preamble. All responses
to this notice will be summarized and
included in the request for Office of
Management and Budget approval. All
comments will also become a matter of
public record.
Issued in Washington, DC, on November
30, 2012.
Claire Barrett,
Chief Privacy & Information Asset Officer,
U.S. Department of Transportation.
[FR Doc. 2012–29483 Filed 12–5–12; 8:45 am]
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DEPARTMENT OF TRANSPORTATION
Pipeline and Hazardous Materials
Safety Administration
[Docket ID PHMSA–2012–0291]

Pipeline Safety: Random Drug Testing
Rate; Contractor MIS Reporting; and
Obtaining DAMIS Sign-In Information
Pipeline and Hazardous
Materials Safety Administration
(PHMSA), DOT.
ACTION: Notice of calendar year 2013
minimum annual percentage rate for
random drug testing, reminder for
operators to report contractor MIS data,
and new method for operators to obtain
user name and password for electronic
reporting.
AGENCY:

PHMSA has determined that
the minimum random drug testing rate
for covered employees will remain at 25
percent during calendar year 2013.
Operators are reminded that drug and
alcohol testing information must be
submitted for contractors performing or
ready to perform covered functions. For
calendar year 2012 reporting, PHMSA
will not attempt to mail the user name
and password for the Drug and Alcohol
Management Information System
(DAMIS) to operators, but will make the
user name and password available in
the PHMSA Portal (https://
portal.phmsa.dot.gov/pipeline).
DATES: Effective January 1, 2013,
through December 31, 2013.
FOR FURTHER INFORMATION CONTACT:
Blaine Keener, National Field
Coordinator, by telephone at 202–366–
0970 or by email at
blaine.keener@dot.gov.
SUMMARY:

SUPPLEMENTARY INFORMATION:

Notice of Calendar Year 2013 Minimum
Annual Percentage Rate for Random
Drug Testing
Operators of gas, hazardous liquid,
and carbon dioxide pipelines and
operators of liquefied natural gas
facilities must randomly select and test
a percentage of covered employees for
prohibited drug use. Pursuant to 49 CFR
199.105(c)(2), (3), and (4), the PHMSA
Administrator’s decision on whether to
change the minimum annual random
drug testing rate is based on the
reported random drug test positive rate
for the pipeline industry. The data
considered by the Administrator comes
from operators’ annual submissions of
Management Information System (MIS)
reports required by § 199.119(a). If the
reported random drug test positive rate
is less than one percent, the
Administrator may continue the

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