Mid-Term Self-Identification

Mid-Term Self-Identification

OMB: 3060-0922

IC ID: 31372

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Mid-Term Self-Identification EB
 
No Modified
 
Required to Obtain or Retain Benefits
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Screen Shots EEO Mid-Term Report screenshot.pdf Yes Yes Fillable Fileable Signable

General Government Central Records & Statistical Mgt

 

1,168 0
   
Private Sector Not-for-profit institutions, Businesses or other for-profits
 
   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 1,168 0 0 -12,015 0 13,183
Annual IC Time Burden (Hours) 23 0 0 -241 0 264
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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