Information Collection

Elementary-Secondary Staff Information (EEO-5)

IC 29363 under ICR 202412-3046-003 · OMB 3046-0003.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 168A Elementary-Secondary Staff Information Report Elementary-Secondary Staff Information (EEO-5)	Form
EEO-5 Instruction Booklet (12.6.24).pdf	Instruction
EEO-5 Instruction Booklet (12.6.24).pdf	Instruction
168A Elementary-Secondary Staff Information Report EEO-5 Sample Report (12.6.24).pdf	Form
168A Elementary-Secondary Staff Information Report EEO-5 Sample Report (12.6.24).pdf	Form

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation:

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
Instruction					Yes	No	Printable Only
Form	168A				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 %

table that charts list of burden
	Approved	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

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.

Something went wrong when downloading this file. If you have any questions, please send an email to [email protected].