Information Collection Request

Complaint Involving Employment Discrimination by a Federal Contractor or Subcontractor

ICR 202309-1250-001 · OMB 1250-0002 · Received in OIRA

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form CC-390 Pre-Complaint Inquiry for Employment Discrimination Involving a Federal Contractor or Subcontractor Form and Instruction Modified Repair queued
Form CC-4 Complaint of Employment Discrimination Involving a Federal Contractor or Subcontractor Form and Instruction Unchanged Repair queued
1250-0002 Justification for Nonmaterial Change FINAL.docx Justification for No Material/Nonsubstantive Change Uploaded 2023-09-19 Missing upstream
FINAL 30 Day Complaint ICR Supporting Statement 6.12.2023 CLEAN.docx Supporting Statement A Uploaded 2023-06-12 Repair queued

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
259522 Pre-Complaint Inquiry for Employment Discrimination Involving a Federal Contractor or Subcontractor Form and Instruction Modified
13803 Complaint of Employment Discrimination Involving a Federal Contractor or Subcontractor Form and Instruction Unchanged

ICR Details

Reginfo record details
table that charts list comparision
  Requested Previously Approved
06/30/2026 06/30/2026
1,718 1,718
505 505
1,744 1,744





table that charts list of burden
  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 1,718 1,718 0 0 0 0
Annual Time Burden (Hours) 505 505 0 0 0 0
Annual Cost Burden (Dollars) 1,744 1,744 0 0 0 0


Reginfo record details
  No