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Federal forms, ICRs, and supporting documents

Information Collection Request

Survey of Actual and Alleged Victims of Employment Discrimination

ICR 200001-3035-004 · OMB 3035-0026 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC IDCollectionTypeStatusForm
28972 Survey of Actual and Alleged Victims of Employment Discrimination Migrated
ICR Details
3035-0026 200001-3035-004
Historical Active
CCR
Survey of Actual and Alleged Victims of Employment Discrimination
New collection (Request for a new OMB Control Number)   No
Emergency 01/28/2000
Approved without change 04/12/2000
Retrieve Notice of Action (NOA) 01/19/2000
Approved as amended by and consistent with the Commission on Civil Right's revisions of 3/20/00, 4/6/00, and 4/12/00. In addition, the Commission agrees to the following terms of clearance: (1) The data generated by this survey shall not be used for statistical purposes. It is a web-based survey and there is no clearly defined sample or universe. Thus, it is innappropriate to draw statistical conclusions from the data. (2) All published reports that use or refer to the data generated by this survey will contain a disclaimer that instructs readers on the limitations of the sampling methodology chosen and further warns of using the data for statistical purposes. (3) Because of the methodoligical limitations described, the Commission will not use the results of this survey to publish percentage breakdowns of responses or frequency counts. (4) OMB requests that the Commission submit for OMB review and comment any language, in any document or report made available to the public, that specifically references this survey or the results of this survey.
  Inventory as of this Action Requested Previously Approved
09/30/2000 09/30/2000
905 0 0
905 0 0
0 0 0
The information collection will be in the form of a survey that targets persons who within the last five years have approached the EEOC with an allegation of employment discrimination. The responses will be tabulated and cited in the Commission's report on EEOC.
None
None
No
1
IC Title Form No. Form Name
Survey of Actual and Alleged Victims of Employment Discrimination
  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 905 0 0 905 0 0
Annual Time Burden (Hours) 905 0 0 905 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
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.
01/19/2000