Discrimination Complaints

Nondiscrimination Compliance Information Reporting

OMB: 1225-0077

IC ID: 183761

Documents and Forms
Document Name
Document Type
Other-Sample Complaint Form
Other-Sample Complaint Form
Instruction
Instruction
Form and Instruction
Form and Instruction
Information Collection (IC) Details

View Information Collection (IC)

Discrimination Complaints
 
No Modified
 
Voluntary
 
29 CFR 38.70 29 CFR 37.74 29 CFR 38.73 29 CFR 37.73(a)-(d) 29 CFR 38.72 29 CFR 38.74 29 CFR 38.80

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Sample Complaint Form Sample Discrimination Complaint Form.docx Yes No Paper Only
Instruction Discrimination Complaint Log Instructions.docx Yes Yes Fillable Fileable
Form and Instruction DL-1-2014A Complaint Information Form DL1-2014a-English.pdf https://www.dol.gov/sites/dolgov/files/OASAM/legacy/files/DL1-2014a-English.pdf Yes Yes Fillable Printable

Workforce Management Labor Rights Management

DOL/OASAM-22  83 FR 25766

35,099 0
   
Individuals or Households
 
   15 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 35,099 0 0 0 0 35,099
Annual IC Time Burden (Hours) 35,099 0 0 0 0 35,099
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
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            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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