Information Collection Request

State and Local Government Information (EEO-4)

ICR 202105-3046-001 · OMB 3046-0008 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form 164 State and Local Government Information Form Modified Available
Form 164 State and Local Government Information (EEO-4) Form Modified Repair queued
EEO4 30 day notice.pdf Supplementary Document Uploaded 2021-05-27 Repair queued
EEO4 60 day.pdf Supplementary Document Uploaded 2021-05-26 Repair queued
EEO-4 Supporting Statement B.docx Supporting Statement B Uploaded 2021-05-26 Repair queued
EEO-4 Supporting Statement A.docx Supporting Statement A Uploaded 2021-05-26 Repair queued

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
29372 State and Local Government Information (EEO-4) Form ModifiedState and Local Government Information
29372 State and Local Government Information (EEO-4) Form Modified
29372 State and Local Government Information (EEO-4) Instruction Modified

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
01/31/2025 36 Months From Approved 01/31/2022
13,649 0 12,197
95,542 0 85,379
0 0 0





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table that charts list of burden
IC Title Form No. Form Name
State and Local Government Information (EEO-4) 164

table that charts list of burden
  Total Approved 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 13,649 12,197 0 1,452 0 0
Annual Time Burden (Hours) 95,542 85,379 0 10,163 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
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