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Federal forms, ICRs, and supporting documents

Information Collection

Complaint of Employment Discrimination

IC 186321 under ICR 201702-2900-002 · OMB 2900-0716.

Documents and Forms
Document Name
Document Type
Form and Instruction
Form and Instruction
Information Collection (IC) Details

View Information Collection (IC)

Complaint of Employment Discrimination 2900-0716
 
No Modified
 
Voluntary
 
29 CFR 1614.106

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 4939 Complaint of Employment Discrimination VA Form 4939 01 26 2017 wEdit.pdf http://vaww.va.gov/vaforms Yes No Fillable Printable

General Government Legislative Functions

 

315 0
   
Individuals or Households
 
   0 %

  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 315 0 0 0 0 315
Annual IC Time Burden (Hours) 158 0 0 0 0 158
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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