OFCCP OMBuds Referral Form

Department of Labor Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery

Documents and Forms

Document Name Document Type
Form Not Available OFCCP Ombuds Referral Form Form and Instruction
Not Available OFCCP Ombuds Referral Form OFCCP Ombuds Referral Form.docx Form and Instruction
OFCCP Ombuds Referral Form Supporting Statement.docx OFCCP Ombuds Referral Form IC Document

Information Collection (IC) Details

IC Title:	OFCCP Ombuds Referral Form	Agency IC Tracking Number:

IC Status: Unchanged

Obligation to Respond: Voluntary

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	Not Available	OFCCP Ombuds Referral Form	OFCCP Ombuds Referral Form.docx		Yes	Yes	Fillable Fileable

Line of Business: Workforce Management

Subfunction: Training and Employment

Privacy Act System of Records
Title:	FR Citation:

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

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Previously Approved
Annual Number of Responses for this IC	10	10
Annual IC Time Burden (Hours)	2	2
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
OFCCP Ombuds Referral Form	OFCCP Ombuds Referral Form Supporting Statement.docx	01/22/2024

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