Information Collection Request

State and Local Government Information (EEO-4)

ICR 202105-3046-001 · OMB 3046-0008 · Received in OIRA

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form 164 State and Local Government Information (EEO-4) Form Modified Missing upstream
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 Modified

ICR Details

Reginfo record details
table that charts list comparision
  Requested Previously Approved
36 Months From Approved 06/30/2021
13,649 12,197
95,542 85,379
0 0





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1
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IC Title Form No. Form Name
State and Local Government Information (EEO-4) 164 State and Local Government Information

table that charts list 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 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
  No