EEOP short form

Equal Employment Opportunity Plan Certification and Short form

Documents and Forms

Document Name Document Type
EEOP short form Form
EEOP short form EEOP Short Form Screen Shots.pdf Form

Information Collection (IC) Details

IC Title:	EEOP short form	Agency IC Tracking Number:	OCR

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	none	EEOP short form	EEOP Short Form Screen Shots.pdf	n/a	Yes	Yes	Fillable Fileable

Line of Business: Community and Social Services

Subfunction: Community and Regional Development

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 3,286	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	3,286	3,286
Annual IC Time Burden (Hours)	13,144	13,144
Annual IC Cost Burden (Dollars)	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.