Information Collection

Discrimination Complaints

IC 183761 under ICR 202504-1225-001 · OMB 1225-0077.

Documents and Forms

Document Name Document Type
Form Not Available Discrimination Complaints Form
Form Not Available DL1-2014a-English Discrimination Complaints Form
Not Available DL1-2014a-English DL1-2014a-English.CRC.Revised.CIF.docx Form
Not Available DL1-2014a-English DL1-2014a-English.CRC.Revised.CIF.docx Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Discrimination Complaints	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Unchanged

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 29 CFR 38.70 29 CFR 38.73 29 CFR 37.73(a)-(d) 29 CFR 38.72 29 CFR 38.74 29 CFR 37.74 29 CFR 38.80

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	Not Available	DL1-2014a-English	DL1-2014a-English.CRC.Revised.CIF.docx		Yes	Yes	Fillable Printable

Line of Business: Workforce Management

Subfunction: Labor Rights Management

Privacy Act System of Records
Title: DOL/OASAM-22	FR Citation: 83 FR 25766

Number of Respondents: 304	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 95 %

	Approved	Previously Approved
Annual Number of Responses for this IC	304	304
Annual IC Time Burden (Hours)	152	152
Annual IC Cost Burden (Dollars)	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.

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