OFFCP COMPLAINT FORM

ICR 198904-1215-006

OMB: 1215-0131

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC ID
Document
Title
Status
168492 Migrated
ICR Details
1215-0131 198904-1215-006
Historical Active 198608-1215-004
DOL/ESA
OFFCP COMPLAINT FORM
No material or nonsubstantive change to a currently approved collection   No
Emergency 04/04/1989
Approved with change 04/04/1989
Retrieve Notice of Action (NOA) 04/04/1989
  Inventory as of this Action Requested Previously Approved
09/30/1989 09/30/1989 09/30/1989
3,213 0 3,213
3,727 0 3,727
0 0 0

THESE COMPLAINT FORMS ARE PREPARED BY INDIVIDUAL CITIZENS WHO ALLEGE DISCRIMINATION BY GOVERNMENT CONTRACTOR THE FORMS ARE RECEIVED BY OFCCP, REVIEWED FOR COVERAGE, AND WHERE APPROPRIATE, ASSIGNED FOR INVESTIGATION.

None
None


No

1
IC Title Form No. Form Name
OFFCP COMPLAINT FORM CC-4

  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 3,213 3,213 0 0 0 0
Annual Time Burden (Hours) 3,727 3,727 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected

  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.
04/04/1989


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