Information Collection

Elementary-Secondary Staff Information (EEO-5)

IC 29363 under ICR 202103-3046-002 · OMB 3046-0003.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3046-0003 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form EEO5168A Elementary-Secondary Staff Information (EEO-5)	Form
IntructionBooklet.pdf	Instruction
EEO5168A Elementary-Secondary Staff Information EEO5168AForm.pdf	Form

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:

table that charts list of 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 %

table that charts list of burden
	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

table that charts IC Documents
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.