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⚠️ Notice: This information collection may be referencing outdated material.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

Documents and forms in this information collection
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

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:

table that charts list of 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 %

table that charts list of burden
	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

table that charts IC Documents
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.