Information Collection

Civil Rights Reporting Portal User Research

IC 253976 under ICR 202108-1103-002 · OMB 1103-0120.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1103-0120 can be found here:

Documents and Forms

Document Name Document Type
Form 1103-0120 Civil Rights Reporting Portal User Research Form and Instruction
1103-0120 Civil Rights Reporting Portal Interview Guide_Reporting Portal.docx Form and Instruction
1103-0120 ICR_CRT Reporting Portal Template.docx Civil Rights Reporting Portal User Research Template IC Document
Participant Agreement_Reporting Portal.docx Civil Rights Reporting Portal User Research - Participant Agreement IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Civil Rights Reporting Portal User Research	Agency IC Tracking Number:	1103-0120

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	1103-0120	Civil Rights Reporting Portal	Interview Guide_Reporting Portal.docx		Yes	Yes	Fillable Fileable

Line of Business: General Government

Subfunction: Central Personnel

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 30	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	30	30
Annual IC Time Burden (Hours)	30	30
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Civil Rights Reporting Portal User Research Template	1103-0120 ICR_CRT Reporting Portal Template.docx	06/01/2022
Civil Rights Reporting Portal User Research - Participant Agreement	Participant Agreement_Reporting Portal.docx	06/01/2022

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.