Information Collection

State and Local Government Information (EEO-4)

IC 29372 under ICR 201409-3046-003 · OMB 3046-0008.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3046-0008 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form EEOC-164 State and Local Government Information (EEO-4)	Form
EEOC-164 EEO-4 EEO-4..pdf www.eeoc.gov	Form

IC Title:

State and Local Government Information (EEO-4)

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Unchanged

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	EEOC-164	EEO-4	EEO-4..pdf	www.eeoc.gov	Yes	Yes	Fillable Fileable

Line of Business: Litigation and Judicial Activities

Subfunction: Legal Investigation

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 6,018

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 20 %

table that charts list of burden
	Approved	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	14,060	14,060
Annual IC Time Burden (Hours)	73,185	73,185
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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.