OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

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

ICR 200802-0690-003 · OMB 0690-0024 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
Form CD-545 Complaint of Employment Discrimination Based on Sexual Orientation Against the Department of Commerce Form Form and Instruction New Repair queued
0690.NEW.SexDiscrim.SuppStmt.022108.doc Supporting Statement A Uploaded 2008-02-21 Available
DAO.215.11.021208.pdf Supplementary Document Uploaded 2008-02-12 Available
Exec. Order 11478.021208.pdf Supplementary Document Uploaded 2008-02-12 Repair queued
IC Document Collections
IC IDCollectionTypeStatusForm
183738 Complaint of Employment Discrimination Based on Sexual Orientation Against the Department of Commerce Form Form and Instruction New
ICR Details
0690-0024 200802-0690-003
Historical Active
DOC/OS
Complaint of Employment Discrimination Based on Sexual Orientation Against the Department of Commerce
New collection (Request for a new OMB Control Number)   No
Regular
Approved without change 06/06/2008
Retrieve Notice of Action (NOA) 02/21/2008
  Inventory as of this Action Requested Previously Approved
06/30/2011 36 Months From Approved
20 0 0
10 0 0
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
  72 FR 20502 04/25/2007
73 FR 9521 02/21/2008
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 0 0 20 0 0
Annual Time Burden (Hours) 10 0 0 10 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Changing Regulations
No
This is a new collection; no changes or adjustments.
No
No
Uncollected
Uncollected
Uncollected
Uncollected
Gwellnar Banks 202 482-3781 [email protected]
  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.
02/21/2008