Information Collection Request

Elementary-Secondary Staff Information (EEO-5)

ICR 202412-3046-003 · OMB 3046-0003 · Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form 168A Elementary-Secondary Staff Information Report Form Modified Available
EEO-5 30-day Notice (12.6.24).pdf Supplementary Document Uploaded 2024-12-06 Available
EEO-5 30-day Notice (12.6.24).pdf Supplementary Document Uploaded 2024-12-06 Repair queued
EEO-5 60-day Notice (8.16.24).pdf Supplementary Document Uploaded 2024-12-06 Repair queued
EEO-5 60-day Notice (8.16.24).pdf Supplementary Document Uploaded 2024-12-06 Repair queued
EEO-5 Supporting Statement B (12.6.24).pdf Supporting Statement B Uploaded 2024-12-06 Available
EEO-5 Supporting Statement B (12.6.24).pdf Supporting Statement B Uploaded 2024-12-06 Repair queued
EEO-5 Supporting Statement A (12.23.24).pdf Supporting Statement A Uploaded 2024-12-23 Repair queued
EEO-5 Supporting Statement A (12.6.24).pdf Supporting Statement A Uploaded 2024-12-06 Repair queued

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
29363 Elementary-Secondary Staff Information (EEO-5) Form ModifiedElementary-Secondary Staff Information Report
29363 Elementary-Secondary Staff Information (EEO-5) Instruction Modified

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
01/31/2028 36 Months From Approved 01/31/2025
10,500 0 7,082
17,927 0 120,901
597,472 0 0





Reginfo record details
1
table that charts list of burden
IC Title Form No. Form Name
Elementary-Secondary Staff Information (EEO-5) 168A

table that charts list of burden
  Total Approved 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 10,500 7,082 0 3,418 0 0
Annual Time Burden (Hours) 17,927 120,901 0 -102,974 0 0
Annual Cost Burden (Dollars) 597,472 0 0 597,472 0 0


Reginfo record details
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