State and Local Government Information (EEO-4)

Documents and Forms

Document Name Document Type
Form 164 State and Local Government Information (EEO-4) Form
EEO4Instructions.pdf Instruction
EEO4Instructions.pdf Instruction
164 State and Local Government Information REVISED_EEO-4_FORM_164.pdf Form
164 State and Local Government Information REVISED_EEO-4_FORM_164.pdf Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	State and Local Government Information (EEO-4)	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
Form	164	State and Local Government Information	REVISED_EEO-4_FORM_164.pdf		Yes	Yes	Fillable Fileable Signable
Instruction			EEO4Instructions.pdf		Yes	Yes	Fillable Fileable Signable

Line of Business: Litigation and Judicial Activities

Subfunction: Legal Investigation

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 5,687	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 96 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	13,649	1,452	12,197
Annual IC Time Burden (Hours)	95,542	10,163	85,379
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.