Elementary-Secondary Staff Information (EEO-5)

Forms and Documents

Document Name	Status
Form EEO5168A Elementary-Secondary Staff Information (EEO-5) Form	Modified
EEO5 30 day notice.pdf Supplementary Document	2021-03-11
EEO-5 Supporting Statement B.docx Supporting Statement B	2021-03-11
EEO-5 Supporting Statement A.docx Supporting Statement A	2021-03-11
Published 60-day EEO-5 2020-25564.pdf Supplementary Document	2021-03-10

IC Document Collections

IC ID	Document Title	Status
29363	Elementary-Secondary Staff Information (EEO-5) Form	Modified

ICR Details

OMB Control No: 3046-0003	ICR Reference No: 202103-3046-002
Status: Received in OIRA	Previous ICR Reference No: 201708-3046-001
Agency/Subagency: EEOC	Agency Tracking No:
Title: Elementary-Secondary Staff Information (EEO-5)
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  Yes
Type of Review Request: Regular	Date Submitted to OIRA: 03/11/2021

	Requested	Previously Approved
Expiration Date	36 Months From Approved	04/30/2021
Responses	7,082	6,024
Time Burden (Hours)	120,901	102,839
Cost Burden (Dollars)	0	0

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Abstract: EEOC regulations require Public Elementary and Secondary School districts with 100 or more employees to collect and retain in their records demographic information about their employees, and report this information to EEOC biennially in even-numbered years. EEOC uses this information to enforce civil rights laws and shares it with the Office for Civil Rights (OCR) of the Department of Education and the U. S. Department of Justice.

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Authorizing Statute(s): US Code: 42 USC 2000e-8(c) Name of Law: Title VII of the Civil Rights Act of 1964
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	85 FR 73701	11/19/2020
30-day Notice:	Federal Register Citation:	Citation Date:
	86 FR 13897	03/11/2021
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
Elementary-Secondary Staff Information (EEO-5)	EEO5168A	Elementary-Secondary Staff Information

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ICR Summary of Burden

	Total Request	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	7,082	6,024	0	1,058	0	0
Annual Time Burden (Hours)	120,901	102,839	0	18,062	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: We have revised our number of estimated filers.

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Annual Cost to Federal Government: $240,120

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     No

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? No

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Common Form ICR:  Yes

Description/Changes for Common Form Usage: 

Approved RCFs using this ICR

Agency/Sub Agency	RCF ID	RCF Title	RCF Status	IC Title

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 03/11/2021

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