Information Collection

State and Local Government Information (EEO-4)

IC 29372 under ICR 202412-3046-005 · OMB 3046-0008.

Documents and Forms

Document Name Document Type
EEO-4 Instruction Booklet (12.9.24).pdf Instruction
EEO-4 Instruction Booklet (12.9.24).pdf Instruction
164 State and Local Government Information Report EEO-4 Sample Report (12.9.24).pdf Form
164 State and Local Government Information Report EEO-4 Sample Report (12.9.24).pdf Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	State and Local Government Information (EEO-4)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Instruction			EEO-4 Instruction Booklet (12.9.24).pdf		Yes	No	Printable Only
Form	164	State and Local Government Information Report	EEO-4 Sample Report (12.9.24).pdf		Yes	Yes	Fillable Fileable

Line of Business: Litigation and Judicial Activities

Subfunction: Legal Investigation

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 6,607	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	6,607	-7,042	13,649
Annual IC Time Burden (Hours)	18,094	-77,448	95,542
Annual IC Cost Burden (Dollars)	563,868	563,868	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.