Information Collection

Compliant Information

IC 183761 under ICR 201505-1225-001 · OMB 1225-0077.

⚠️ Notice: This information collection may be referencing outdated material.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

View Information Collection (IC)

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 37.74 29 CFR 38.70 29 CFR 38.73 29 CFR 37.73(a)-(d) 29 CFR 38.72 29 CFR 38.74 29 CFR 38.80

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	Previously Approved
Annual Number of Responses for this IC	1,840	1,840
Annual IC Time Burden (Hours)	1,840	1,840
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.