State and Local Government Information (EEO-4)

Forms and Documents

Document Name	Status
Form EEOC-164 State and Local Government Information (EEO-4) Form	Modified
Form 83i-fill[1].pdf_EEO_4_extension.pdf Supporting Statement B	2011-04-29
Specific InstructionsJustification_EEO-4 olcreview _re_8_9_11.doc Supporting Statement A	2011-08-09

IC Document Collections

IC ID	Document Title	Status
29372	State and Local Government Information (EEO-4) Form	Modified

ICR Details

OMB Control No: 3046-0008	ICR Reference No: 201104-3046-004
Status: Historical Active	Previous ICR Reference No: 200806-3046-002
Agency/Subagency: EEOC	Agency Tracking No:
Title: State and Local Government Information (EEO-4)
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 08/29/2011
	Date Received in OIRA: 04/29/2011
Terms of Clearance: Based on conversations with EEOC, it is OMB’s understanding that EEOC is considering potential revisions to this report. OMB expects that any revisions to this report will be fully justified under and consistent with the Paperwork Reduction Act and Federal statistical standards, including OMB’s 1997 Standards for Maintaining, Collecting, and Presenting Federal Data on Race and Ethnicity. In addition, in order to minimize burdens and costs to respondents, OMB recommends that EEOC make any planned revisions to this report simultaneously, rather than in a piece-meal fashion. OMB also recommends that EEOC seek the input of affected stakeholders about any revisions as early as possible, and provide respondents with ample notice before making revisions in order to minimize burdens. Finally, OMB expects EEOC to keep it updated about any possible revisions to this report on a regular basis.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	08/31/2014	36 Months From Approved	08/31/2011
Responses	14,060	0	12,036
Time Burden (Hours)	73,185	0	40,000
Cost Burden (Dollars)	0	0	0

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Abstract: EEOC regulations require State and Local Governments with 100 or more employees to collect and retain in their records demographic information about their employees, and report this information to EEOC biennially in odd-numbered years. EEOC uses this information to enforce civil rights laws and shares it with the U. S. Department of Justice

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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
60-day Notice:	Federal Register Citation:	Citation Date:
	76 FR 6470	02/04/2011
30-day Notice:	Federal Register Citation:	Citation Date:
	76 FR 22895	04/25/2011
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
State and Local Government Information (EEO-4)	EEOC-164	EEO-4

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ICR Summary of Burden

	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	14,060	12,036	0	0	2,024	0
Annual Time Burden (Hours)	73,185	40,000	0	0	33,185	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

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

Burden Reduction Due to:

Short Statement: It should be noted that the burden hours have been revised since the approval of the report for the 2008 reporting period.

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Annual Cost to Federal Government: $187,500

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: 04/29/2011

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