Complaint Involving Employment Discrimination by a Federal Contractor or Subcontractor

Forms and Documents

Document Name	Status
CC-4 Supporting_Statement CC-4 23 June 2014.docx Supporting Statement A	2014-06-23
41 CFR Part 60-741.doc Supplementary Document	2011-01-20
41 CFR Part 60-300.doc Supplementary Document	2011-01-20
41 CFR Part 60-250.doc Supplementary Document	2011-01-20
41 CFR Part 60-4.doc Supplementary Document	2011-01-20
41 CFR Part 60-2.doc Supplementary Document	2011-01-20
41 CFR PART 60-1.doc Supplementary Document	2011-01-20

IC Document Collections

IC ID	Document Title	Status
13803	Complaint Involving Employment Discrimination by a Federal Contractor or Subcontractor Instruction	Modified

ICR Details

OMB Control No: 1250-0002	ICR Reference No: 201406-1250-002
Status: Historical Active	Previous ICR Reference No: 201101-1250-001
Agency/Subagency: DOL/OFCCP	Agency Tracking No:
Title: Complaint Involving Employment Discrimination by a Federal Contractor or Subcontractor
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: 08/27/2014
	Date Received in OIRA: 06/26/2014
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	08/31/2017	36 Months From Approved	08/31/2014
Responses	747	0	602
Time Burden (Hours)	747	0	771
Cost Burden (Dollars)	52	0	283

---

Abstract: The complaint form is prepared by individuals who allege illegal discrimination by Federal contractors under any of the three programs administered by OFCCP.

---

Authorizing Statute(s): US Code: 29 USC 793 - Section 503 Name of Law: Section 503- Rehabilitation Act of 1973
   US Code: 38 USC 4212 Name of Law: Vietnam Era Veterans' Readjustment Assistance Act of 1974
   EO: EO 11246 Name/Subject of EO: EEO and AA Guidelines for Federal Contractors Regarding Race, Color, Gender and National Origin
  

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
60-day Notice:	Federal Register Citation:	Citation Date:
	79 FR 6924	02/05/2014
30-day Notice:	Federal Register Citation:	Citation Date:
	79 FR 36335	06/26/2014
Did the Agency receive public comments on this ICR? Yes

---

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

IC Title	Form No.	Form Name
Complaint Involving Employment Discrimination by a Federal Contractor or Subcontractor	cc-4, revised 1/2014	Complaint Involving Employment Discrimination by a Federal Contractor or Subcontractor

---

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	747	602	0	0	145	0
Annual Time Burden (Hours)	747	771	0	-169	145	0
Annual Cost Burden (Dollars)	52	283	0	0	-231	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: Yes

Burden Reduction Due to: Changing Forms

Short Statement: Based on the three-year average of complaints received, OFCCP expects to process more complaints (747) than under the previous approved ICR (602). Yet, with the shorter and easier form OFCCP estimates that complainants will spend less time completing the revised CC-4, thus resulting in an overall decrease in burden. The estimated decrease is .28 hours per response. OFCCP has also updated the burden cost estimate to reflect the percentage of complaints received by fax or email.

---

Annual Cost to Federal Government: $54,165

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: 06/26/2014

---