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Federal forms, ICRs, and supporting documents

Information Collection Request

SUMMARY OF BACKPAY, DAMAGES OR OTHER MONETARY BENEFITS (EQUAL PAY ACT)

ICR 197909-3046-003 · OMB 3046-0022 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC IDCollectionTypeStatusForm
149338 SUMMARY OF BACKPAY, DAMAGES OR OTHER MONETARY BENEFITS (EQUAL PAY ACT) Form Migrated
ICR Details
3046-0022 197909-3046-003
Historical Active
EEOC
SUMMARY OF BACKPAY, DAMAGES OR OTHER MONETARY BENEFITS (EQUAL PAY ACT)
New collection (Request for a new OMB Control Number)   No
Regular
Approved without change 10/23/1979
Retrieve Notice of Action (NOA) 09/14/1979
  Inventory as of this Action Requested Previously Approved
11/30/1981 11/30/1981
4,000 0 0
1,000 0 0
0 0 0
REQUIRED BY 52 STAT. 1060; 77 STAT. 56; AND 81 STAT. 602. THE REPORT FORM IS USED DURING THE COURSE OF EQUAL PAY AND AGE DISCRIMINATION INVESTIGATIONS OF COVERED EMPLOYERS, LABOR ORGANIZATIONS AND EMPLOYMENT AGENCIES UNDER THE EQUAL PAY ACT AND AGE DISCRIMINATION IN EMPLOYMENT ACT. EMPLOYERS ARE REQUESTED TO LIST THE NAMES OF THE INDIVIDUALS DUE BACK WAGES, THEIR HOME ADDRESSES, AND THE GROSS AMOUNTS DUE THEM ON THE REPORT FORM
None
None
No
1
IC Title Form No. Form Name
SUMMARY OF BACKPAY, DAMAGES OR OTHER MONETARY BENEFITS (EQUAL PAY ACT) EEOC 378
  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 4,000 0 0 0 4,000 0
Annual Time Burden (Hours) 1,000 0 0 0 1,000 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No
$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected
  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.
09/14/1979