Information Collection Request
Workplace Discrimination Complaints
ICR 202211-3060-023 · OMB 3060-1237 · Active
⚠️ Notice: This information collection may be outdated. More recent filings for OMB 3060-1237 can be found here:
Forms and Documents
| Document | Type | Status | Availability |
|---|---|---|---|
 Form FCC Form 5621 Federal Government |
Form | Modified | Available |
| Form FCC Form 5622 Individuals or Households |
Form | Unchanged | Available |
 Informal Complaint Forms Non-substantive Modification Justification owd update 113022.docx |
Justification for No Material/Nonsubstantive Change | Uploaded 2022-11-30 | Available |
| Informal and Formal Complaint Forms Non-substantive Modification Justification.docx |
Justification for No Material/Nonsubstantive Change | Uploaded 2022-06-21 | Repair queued |
| Supporting Statement Forms 5621 and 5622 Workplace Discrimination_052020.docx |
Supporting Statement A | Uploaded 2020-05-28 | Repair queued |
IC Document Collections
| IC ID | Collection | Type | Status | Form |
|---|---|---|---|---|
| 241980 |  Federal Government |
Form | Modified | |
| 226756 | Individuals or Households |
Form | Unchanged |
ICR Details
| Status | Active |
|---|---|
| Agency/Subagency | FCC |
| OMB Control No | 3060-1237 |
| Type of Information Collection | No material or nonsubstantive change to a currently approved collection |
| Previous ICR Reference No | 202206-3060-015 |
| Agency Tracking No | OWD |
| Date Submitted to OIRA | 2022-11-30 |
| Requested Expiration Date | 1969-12-31 |