Reporting Process for Complaint of Employment Discrimination Based on Sexual Orientation Against the Department of Commerce

ICR 201710-0690-001

OMB: 0690-0024

Federal Form Document

Forms and Documents
Document
Name
Status
Form and Instruction
Modified
Supporting Statement A
2017-10-27
Supplementary Document
2017-10-03
Supplementary Document
2017-10-03
ICR Details
0690-0024 201710-0690-001
Active 201409-0690-001
DOC/OS
Reporting Process for Complaint of Employment Discrimination Based on Sexual Orientation Against the Department of Commerce
Extension without change of a currently approved collection   No
Regular
Approved without change 12/04/2017
Retrieve Notice of Action (NOA) 10/27/2017
  Inventory as of this Action Requested Previously Approved
12/31/2020 36 Months From Approved 12/31/2017
20 0 20
10 0 10
0 0 0

Pursuant to Executive Order 11478 and the Department of Commerce Administrative Order (DAO) 215-11, an employee or applicant for employment with the Department of Commerce who alleges that he or she has been subjected to discriminatory treatment based on sexual orientation by DOC or one of its sub agencies, must submit a signed, sufficiently precise statement.

None
None

Not associated with rulemaking

  82 FR 40135 08/24/2017
82 FR 49784 10/27/2017
No

  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 20 0 0 0 0
Annual Time Burden (Hours) 10 10 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$23,000
No
    Yes
    Yes
No
No
No
Uncollected
Kathy Anderson 202 482-3860 kanderson@doc.gov

  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.
10/27/2017


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