Formal Complaint Form

EEO Complaint Forms

OMB: 1505-0262

IC ID: 230736

Information Collection (IC) Details

View Information Collection (IC)

Formal Complaint Form
 
No Modified
 
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 63-03.5 Formal Complaint Form Individual Formal Complaint Form 62-03.5 2022.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

15 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 15 0 0 0 0 15
Annual IC Time Burden (Hours) 15 0 0 0 0 15
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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