Information Collection Request

Reporting Process for Complaint of Employment Discrimination Used by Permanent Employees and Applicants for Employment at DOC and Complaint of Employment Discrimination for the Decennial Census

ICR 202403-0690-001 · OMB 0690-0015 · Received in OIRA

Forms and Documents
DocumentTypeStatusAvailability
Form CD498 Complaint of Employment Discrimination (Used by Permanent Employees and Applicants for Employment at DOC) Form Modified Repair queued
Form CD-498A Complaint of Employment Discrimination for the Decennial Census Form and Instruction Modified Repair queued
Supporting Statement Part A 0690-0015 March 2024.docx Supporting Statement A Uploaded 2024-03-21 Repair queued
DAO 215-9 (Processing Complaints).pdf Supplementary Document Uploaded 2024-03-21 Repair queued
Executive Order 11478.docx Supplementary Document Uploaded 2017-10-18 Repair queued
ICR Details
StatusReceived in OIRA
Agency/SubagencyDOC/OS
OMB Control No0690-0015
Type of Information CollectionRevision of a currently approved collection
Previous ICR Reference No202011-0690-001
Date Submitted to OIRA1969-12-31
Requested Expiration Date1969-12-31