Elementary-Secondary Staff Information (EEO-5)

Documents and Forms

Document Name Document Type
EEO-5 Instruction Booklet (12.6.24).pdf Instruction
168A Elementary-Secondary Staff Information Report EEO-5 Sample Report (12.6.24).pdf Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Elementary-Secondary Staff Information (EEO-5)	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
Instruction			EEO-5 Instruction Booklet (12.6.24).pdf		Yes	No	Printable Only
Form	168A	Elementary-Secondary Staff Information Report	EEO-5 Sample Report (12.6.24).pdf		Yes	Yes	Fillable Fileable

Line of Business: Litigation and Judicial Activities

Subfunction: Legal Investigation

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 10,500	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	10,500	3,418	7,082
Annual IC Time Burden (Hours)	17,927	-102,974	120,901
Annual IC Cost Burden (Dollars)	597,472	597,472	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.