Information Collection

Complaint of Employment Discrimination for the Decennial Census

IC 212587 under ICR 202403-0690-001 · OMB 0690-0015.

Documents and Forms

Document Name Document Type
Form CD-498A Complaint of Employment Discrimination for the Decennial Census Form and Instruction
CD-498A Complaint of Employment Discrimination for the Decennial Form CD498A (OCR Revisions submitted in Dec 2020) v2.docx Form and Instruction
CD-498A Complaint of Employment Discrimination for the Decennial Form CD498A (OCR Revisions submitted in Dec 2020) v2.docx Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Complaint of Employment Discrimination for the Decennial Census	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	CD-498A	Complaint of Employment Discrimination for the Decennial Census	Form CD498A (OCR Revisions submitted in Dec 2020) v2.docx		No		Paper Only

Line of Business: General Government

Subfunction: Executive Functions

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 5	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	5	-395	400
Annual IC Time Burden (Hours)	3	-197	200
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

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.