Elementary-Secondary Staff Information (EEO-5)

Forms and Documents

Document Name	Status
Form EEOC-168A Elementary-Secondary Staff Information (EEO-5) Form	Unchanged
Specific Instructions Justification_EEO-5_rev[1].doc Supporting Statement A	2008-07-03

IC Document Collections

IC ID	Document Title	Status
29363	Elementary-Secondary Staff Information (EEO-5) Form	Unchanged

ICR Details

OMB Control No: 3046-0003	ICR Reference No: 201010-3046-001
Status: Historical Inactive	Previous ICR Reference No: 200806-3046-003
Agency/Subagency: EEOC	Agency Tracking No:
Title: Elementary-Secondary Staff Information (EEO-5)
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Emergency	Approval Requested By: 10/31/2010
OIRA Conclusion Action: Withdrawn and continue	Conclusion Date: 10/29/2010
	Date Received in OIRA: 10/29/2010
Terms of Clearance: This collection is being withdrawn by EEOC so it can be correctly submitted as an extension without change.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	10/31/2010	6 Months From Approved	10/31/2010
Responses	7,500	0	7,500
Time Burden (Hours)	10,000	0	10,000
Cost Burden (Dollars)	0	0	0

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Abstract: EEO-5 data are used by EEOC to investigate changes of employment discrimination against public elementary and secondary school districts. Data are shared with the Department of Justice, and 23 State and 56 Local FEPA's.

Emergency Justfication: Emergency approval is needed to continue collecting information during the current reporting period.

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Authorizing Statute(s): US Code: 42 USC 2000e-8(c) Name of Law: Title VII of the Civil Rights Act of 1964
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments

Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
Elementary-Secondary Staff Information (EEO-5)	EEOC-168A	EEO-5

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Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

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Annual Cost to Federal Government: $170,000

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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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:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(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;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

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.

Certification Date: 10/29/2010

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