Compliant Information

Nondiscrimination Compliance Information Reporting Under the Workforce Investment Act of 1998

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1225-0077 can be found here:

Documents and Forms

Document Name Document Type
Form DL 1-2014A Compliant Information Form and Instruction
PRA Attchment 12 - Sample Discrimination Complaint Form.docx Other-Prototype Form
DL 1-2014A Complaint Information Form CRC External Complaint form - final 508 version 07.10.14.pdf www.dol.gov/oasam/programs/crc/external-enforc-complaints.htm Form and Instruction

Information Collection (IC) Details

IC Title:	Compliant Information	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation: 29 CFR 37.73(a)-(d) 29 CFR 37.74

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	DL 1-2014A	Complaint Information Form	CRC External Complaint form - final 508 version 07.10.14.pdf	http://www.dol.gov/oasam/programs/crc/external-enforc-complaints.htm	Yes	Yes	Fillable Printable
Other-Prototype Form			PRA Attchment 12 - Sample Discrimination Complaint Form.docx		Yes	No	Paper Only

Line of Business: Workforce Management

Subfunction: Labor Rights Management

Privacy Act System of Records
Title: DOL/OASAM-22	FR Citation: 67 FR 16816

Number of Respondents: 1,840	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 15 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	1,840	940	900
Annual IC Time Burden (Hours)	1,840	1,615	225
Annual IC Cost Burden (Dollars)	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.