Information Collection

Discrimination Complaints

IC 183761 under ICR 202402-1225-003 · OMB 1225-0077.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1225-0077 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form Not Available Discrimination Complaints	Form
Not Available DL1-2014a-English DL1-2014a-English.CRC.Revised.CIF.docx	Form
Not Available DL1-2014a-English DL1-2014a-English.CRC.Revised.CIF.docx	Form

IC Title:

Discrimination Complaints

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 29 CFR 38.70 29 CFR 38.73 29 CFR 37.73(a)-(d) 29 CFR 38.72 29 CFR 38.74 29 CFR 37.74 29 CFR 38.80

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	Not Available	DL1-2014a-English	DL1-2014a-English.CRC.Revised.CIF.docx		Yes	Yes	Fillable Printable

Line of Business: Workforce Management

Subfunction: Labor Rights Management

Privacy Act System of Records

Title: DOL/OASAM-22

FR Citation: 83 FR 25766

Number of Respondents: 304

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 95 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	304	-34,795	35,099
Annual IC Time Burden (Hours)	152	-34,947	35,099
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.