Workplace Discrimination Complaints

ICR 202211-3060-023

OMB: 3060-1237

Federal Form Document

⚠️ Notice: This information collection may be outdated. More recent filings for OMB 3060-1237 can be found here:

2023-05-30 - Extension without change of a currently approved collection

Forms and Documents

Document Name	Status
Form FCC Form 5621 Federal Government Form	Modified
Form FCC Form 5622 Individuals or Households Form	Unchanged
Informal Complaint Forms Non-substantive Modification Justification owd update 113022.docx Justification for No Material/Nonsubstantive Change	2022-11-30
Informal and Formal Complaint Forms Non-substantive Modification Justification.docx Justification for No Material/Nonsubstantive Change	2022-06-21
Supporting Statement Forms 5621 and 5622 Workplace Discrimination_052020.docx Supporting Statement A	2020-05-28

IC Document Collections

IC ID	Document Title	Status
241980	Federal Government Form	Modified
226756	Individuals or Households Form	Unchanged

ICR Details

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