OMB
.report
Search
Agreement to Extend Counseling
EEO Complaint Forms
OMB: 1505-0262
IC ID: 230731
OMB.report
TREAS/DO
OMB 1505-0262
ICR 201705-1505-001
IC 230731
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1505-0262 can be found here:
2022-08-11 - No material or nonsubstantive change to a currently approved collection
2022-07-15 - No material or nonsubstantive change to a currently approved collection
Documents and Forms
Document Name
Document Type
Form TD F 62-03.6
Agreement to Extend Counseling
Form and Instruction
TD F 62-03.6 Agreement to Extend Counseling
Agreement to Extend Counseling without Mediation 62-03.6 2019.pdf
Form and Instruction
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Agreement to Extend Counseling
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
New
Obligation to Respond:
Voluntary
CFR Citation:
29 CFR 1614
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form and Instruction
TD F 62-03.6
Agreement to Extend Counseling
Agreement to Extend Counseling without Mediation 62-03.6 2019.pdf
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Workforce Management
Subfunction:
Labor Rights Management
Privacy Act System of Records
Title:
Department of the Treasury, Civil Rights, Complaints and Compliance Review Files System of Records Notice
FR Citation:
81 FR 78266
Number of Respondents:
15
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
100 %
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
15
0
15
0
0
0
Annual IC Time Burden (Hours)
1
0
1
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
No associated records found
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.