Information Collection

State and Local Government Information (EEO-4)

IC 29372 under ICR 201501-3046-003 · 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⚠️ Notice: This information collection may be referencing outdated material.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

Document Name Document Type
Form 164 State and Local Government Information (EEO-4) Form
164 EEO-4 REVISED_EEO-4_FORM_164.pdf egov.eeoc.gov/eeo4/ Form
164 EEO-4 (old) EE0-4 Form old.pdf Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	State and Local Government Information (EEO-4)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

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	164	EEO-4	REVISED_EEO-4_FORM_164.pdf	https://egov.eeoc.gov/eeo4/	Yes	Yes	Fillable Printable
Form	164	EEO-4 (old)	EE0-4 Form old.pdf		Yes	Yes	Fillable Printable

Line of Business: Litigation and Judicial Activities

Subfunction: Legal Investigation

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 9,000	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 89 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	12,458	-1,602	14,060
Annual IC Time Burden (Hours)	89,188	16,003	73,185
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.