Information Collection Request
Individual Complaint of Employment Discrimination
ICR 202304-2105-001 · OMB 2105-0556 · Received in OIRA
⚠️ Notice: This information collection may be outdated. More recent filings for OMB 2105-0556 can be found here:
Forms and Documents
| Document | Type | Status | Availability |
|---|---|---|---|
 Form DOT F 1050–8 Individual Complaint of Employment Discrimination |
Form and Instruction | Modified | Repair queued |
 Blank ONEDOT Formal Complaint Form 2105-0556.rtf |
Supplementary Document | Uploaded 2023-04-04 | Repair queued |
 30 Day FRC 2105-0556.pdf |
Supplementary Document | Uploaded 2023-04-04 | Repair queued |
| 60 Day FRC 2105-0556.pdf |
Supplementary Document | Uploaded 2023-04-04 | Repair queued |
 Supporting Statement for 2105-0556.docx |
Supporting Statement A | Uploaded 2023-04-04 | Repair queued |
| GINA.pdf |
Supplementary Document | Uploaded 2012-10-24 | Missing upstream |
| 29 CFR Part 1614.pdf |
Supplementary Document | Uploaded 2009-07-31 | Repair queued |
IC Document Collections
| IC ID | Collection | Type | Status | Form |
|---|---|---|---|---|
| 44070 |  Individual Complaint of Employment Discrimination |
Form and Instruction | Modified |
ICR Details
| Status | Received in OIRA |
|---|---|
| Agency/Subagency | DOT/OST |
| OMB Control No | 2105-0556 |
| Type of Information Collection | Extension without change of a currently approved collection |
| Previous ICR Reference No | 202001-2105-001 |
| Date Submitted to OIRA | 1969-12-31 |
| Requested Expiration Date | 1969-12-31 |