Information Collection

EEO Complaint System

IC 257282 under ICR 202212-3150-001 · OMB 3150-0259.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3150-0259 can be found here:

Documents and Forms

Document Name Document Type
Screenshots of EEO electronic complaints system.pdf Other-System
REVISED Screenshots of EEO electronic complaints system.pdf Other-System

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	EEO Complaint System	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-System			REVISED Screenshots of EEO electronic complaints system.pdf		Yes	Yes	Fillable Fileable

Line of Business: Energy

Subfunction: Energy Production

Privacy Act System of Records
Title: EEOC/GOVT-1 Equal Employment Opportunity in the Federal Government Complaint and Appeal Records	FR Citation: 71 FR 24704

Number of Respondents: 20	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	20	20
Annual IC Time Burden (Hours)	5	5
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

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