Elementary-Secondary Staff Information (EEO-5)

Documents and Forms

Document Name Document Type
Form EEO5168A Elementary-Secondary Staff Information (EEO-5) Form
IntructionBooklet.pdf Instruction
EEO5168A Elementary-Secondary Staff Information EEO5168AForm.pdf Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Elementary-Secondary Staff Information (EEO-5)	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
Instruction			IntructionBooklet.pdf		Yes	Yes	Fillable Fileable
Form	EEO5168A	Elementary-Secondary Staff Information	EEO5168AForm.pdf		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: 7,082	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 97 %

	Requested	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	7,082	1,058	6,024
Annual IC Time Burden (Hours)	120,901	18,062	102,839
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.