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Elementary-Secondary Staff Information (EEO-5)
Elementary-Secondary Staff Information (EEO-5)
OMB: 3046-0003
IC ID: 29363
OMB.report
EEOC
OMB 3046-0003
ICR 201301-3046-001
IC 29363
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3046-0003 can be found here:
2021-03-11 - Revision of a currently approved collection
2017-08-03 - Extension without change of a currently approved collection
Documents and Forms
Document Name
Document Type
Form FORM 168A
Elementary-Secondary Staff Information (EEO-5)
Form
FORM 168A Elementary-Secondary Staff Information EEO-5 Report
EEO-5 FORM REVISED.8.24.12_1_1.doc
Form
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Elementary-Secondary Staff Information (EEO-5)
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Unchanged
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
Form
FORM 168A
Elementary-Secondary Staff Information EEO-5 Report
EEO-5 FORM REVISED.8.24.12_1_1.doc
Yes
Yes
Fillable Printable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Litigation and Judicial Activities
Subfunction:
Legal Investigation
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
6,190
Number of Respondents for Small Entity:
0
Affected Public:
State, Local, and Tribal Governments
Percentage of Respondents Reporting Electronically:
75 %
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
6,190
0
0
0
0
6,190
Annual IC Time Burden (Hours)
15,475
0
0
0
0
15,475
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
No associated records found
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.