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Equal Employment Opportunity Program "Short Form"
Equal Employment Opportunity Program "Short Form"
OMB: 1121-0140
IC ID: 38356
OMB.report
DOJ/OJP
OMB 1121-0140
ICR 199603-1121-002
IC 38356
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1121-0140 can be found here:
2020-02-11 - Reinstatement without change of a previously approved collection
2016-03-30 - Extension without change of a currently approved collection
Documents and Forms
Document Name
Document Type
no available documents/forms check other ICs listed under this ICR
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Equal Employment Opportunity Program "Short Form"
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Migrated
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
Federal Enterprise Architecture Business Reference Module
Line of Business:
Subfunction:
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
1,736
Number of Respondents for Small Entity:
0
Affected Public:
State, Local, and Tribal Governments
Percentage of Respondents Reporting Electronically:
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
286
0
0
-1,450
0
1,736
Annual IC Time Burden (Hours)
2,238
0
0
68
0
2,170
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.