Agreement to Extend Counseling to Participate in Mediation

EEO Complaint Forms

OMB: 1505-0262

IC ID: 230730

Information Collection (IC) Details

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Agreement to Extend Counseling to Participate in Mediation
 
No Unchanged
 
Voluntary
 
29 CFR 1614

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction TD F 62-03.4 Agreement to Extend Counseling to Participate in Mediation Agreement to Extend Counseling with an Extension 62-03.4 2019.pdf Yes Yes Fillable Fileable

Workforce Management Labor Rights Management

Department of the Treasury, Civil Rights, Complaints and Compliance Review Files System of Records Notice  81 FR 78266

1 0
   
Individuals or Households
 
   100 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 1 0 0 0 0 1
Annual IC Time Burden (Hours) 0 0 0 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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

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