NRC Form 646, "Formal Discrimination Complaint"

ICR 202205-3150-001

OMB: 3150-0255

Federal Form Document

Forms and Documents
IC Document Collections
ICR Details
202205-3150-001
Received in OIRA
NRC
NRC Form 646, "Formal Discrimination Complaint"
New collection (Request for a new OMB Control Number)   No
Regular 05/27/2022
  Requested Previously Approved
36 Months From Approved
30 0
30 0
0 0

As set forth under 29 CFR 1614, the EEO complaint process prescribes that when an aggrieved individual believes that they have been discriminated against on the basis of their race, color, religion, sex (including sexual orientation, gender identity and expressions, and pregnancy), national origin, age, disability, genetic information (including family medical history), marital status, parental status, political affiliation, military service, and reprisal and seeks EEO counseling, the assigned EEO Counselor will conduct the pre-complaint (Informal) with the intentions of resolving the complaint within the Agency. At the conclusion of pre-complaint (Informal) process and if resolution was unsuccessful, the EEO Counselor during the final interview with the aggrieved person must discuss what occurred during the counseling process and provide the aggrieved with information to move the matter forward. Pursuant to 29 CFR § 1614.105(c), if the aggrieved individual decides to file a Formal complaint (i.e., NRC Form 646), the EEO Counselor must submit a written report (i.e., EEO Counselors Report) within fifteen (15) calendar days to the SBCR Director or designated official that will contain relevant information about the aggrieved individual, jurisdiction, claims, bases, Responding Management Officials (RMO), witnesses, requested remedies, and the EEO Counselor's checklist. Once received by the NRC, an authorized NRC representative will place the completed NRC Form 646 in a secure folder created specifically for the aggrieved individual within an automated tracking system.

PL: Pub.L. 107 - 174 301 Name of Law: Notification and Federal Employee Antidiscrimination and Retaliation Act of 2002
   PL: Pub.L. 88 - 352 703 Name of Law: Title VII of the Civil Rights Act of 1964, as amended
   PL: Pub.L. 93 - 112 501 Name of Law: Rehabilitation Act of 1973
   PL: Pub.L. 90 - 202 621 Name of Law: Age Discrimination in Employment Act of 1967
   PL: Pub.L. 88 - 38 206 Name of Law: Equal Pay Act of 1963
   PL: Pub.L. 110 - 233 201 Name of Law: Genetic Nondiscrimination Act of 2008
  
None

Not associated with rulemaking

  87 FR 8060 02/11/2022
87 FR 32196 05/27/2022
Yes

1
IC Title Form No. Form Name
NRC Form 646, "Formal Discrimination Complaint" NRC Form 646 Formal Discrimination Complaint

  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 30 0 0 30 0 0
Annual Time Burden (Hours) 30 0 0 30 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No
This is a request for a new OMB clearance. The NRC Form 646 serves as the required written request to further pursue unresolved claim(s) of unlawful discrimination through the formal complaint procedure in accordance with 29 C.F.R. §1614.105 and MD 110. The information collected enables the Agency to properly identify the claim(s) raised by the complainant and determine if such claim(s) can legally be accepted for investigation or dismissed in accordance with 29 C.F.R. §1614.106 and 29 C.F.R. §1614.107.

$2,880
No
    Yes
    Yes
No
No
No
No
Erin Deeds 301 415-7000

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
05/27/2022


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