Elementary-Secondary Staff Information (EEO-5)

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form EEOC-168A Elementary-Secondary Staff Information (EEO-5)	Form	Unchanged	Available
Form 83i_EEO5._rev_4_5_12_1.pdf	Supporting Statement B	Uploaded 2012-04-05	Available
Specific Instructions Justification_EEO-5.olcreview._rev_4_5_1.doc	Supporting Statement A	Uploaded 2012-04-05	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
29363	Elementary-Secondary Staff Information (EEO-5)	Form	Unchanged

ICR Details

OMB Control No: 3046-0003	ICR Reference No: 201204-3046-002
Status: Historical Active	Previous ICR Reference No: 201104-3046-006
Agency/Subagency: EEOC	Agency Tracking No:
Title: Elementary-Secondary Staff Information (EEO-5)
Type of Information Collection: Reinstatement without change of a previously approved collection	Common Form ICR:  No
Type of Review Request: Emergency	Approval Requested By: 04/05/2012
OIRA Conclusion Action: Approved without change	Conclusion Date: 04/05/2012
	Date Received in OIRA: 04/04/2012
Terms of Clearance: EEOC should continue to work towards making the race and ethnicity categories on the report compliant with the 1997 Standards for Maintaining, Collecting, and Presenting Federal Data on Race and Ethnicity. EEOC should not require respondents to file 2012 reports during this approval period.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	06/30/2012	6 Months From Approved
Responses	7,218	0	0
Time Burden (Hours)	32,481	0	0
Cost Burden (Dollars)	0	0	0

---

Abstract: EEOC regulations require Public Elementary and Secondary School districts 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 even-numbered years. EEOC uses this information to enforce civil rights laws and shares it Office for Civil Rights (OCR) of the Department of Education and the U. S. Department of Justice.

Emergency Justfication: Emergency approval is necessary to continue data collection during this reporting period.

---

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

---

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

---

Federal Register Notices & Comments

Did the Agency receive public comments on this ICR? No

---

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

table that charts list of burden

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

---

ICR Summary of Burden

table that charts list 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	7,218	0	0	0	0	7,218
Annual Time Burden (Hours)	32,481	0	0	0	0	32,481
Annual Cost Burden (Dollars)	0	0	0	0	0	0

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:

---

Annual Cost to Federal Government: $190,000

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

---

Common Form ICR:  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:

(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: 04/04/2012

---