Discrimination Complaint Forms

Forms and Documents

Document	Type	Status	Availability
FR1413_20260131_omb.pdf	Supporting Statement A	Uploaded 2026-01-31	Available

IC Document Collections

IC ID	Collection	Type	Status	Form
278733	FR 1413b	Other-Draft Form	New
278732	FR 1413a	Other-Draft Form	New

ICR Details

OMB Control No: 7100-0388	ICR Reference No: 202601-7100-004
Status: Active	Previous ICR Reference No:
Agency/Subagency: FRS	Agency Tracking No: FR 1413
Title: Discrimination Complaint Forms
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Delegated
OIRA Conclusion Action: Approved without change	Conclusion Date: 01/31/2026
Retrieve Notice of Action (NOA)	Date Received in OIRA: 01/31/2026
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	01/31/2029	36 Months From Approved
Responses	4	0	0
Time Burden (Hours)	3	0	0
Cost Burden (Dollars)	0	0	0

---

Abstract: The FR 1413 consists of two forms: Pre-Complaint of Discrimination (FR 1413a) and Formal Complaint of Discrimination (FR 1413b). These forms are used by individuals alleging discrimination by the Board while they were either applying for or had separated from employment with the Board. The Board’s Rules Regarding Equal Opportunity (the Board’s EEO rules) (12 CFR Part 268) govern the Board’s discrimination complaint process and have been enforced since August 7, 2006. The Board has cleared these reporting requirements under the Paperwork Reduction Act (PRA).

---

Authorizing Statute(s): US Code: 12 USC 244 Name of Law: Federal Reserve Act
   US Code: 12 USC 248 Name of Law: Federal Reserve Act
  

Citations for New Statutory Requirements: None

---

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	89 FR 96977	12/06/2024
30-day Notice:	Federal Register Citation:	Citation Date:
	91 FR 1185	01/12/2026
Did the Agency receive public comments on this ICR? No

---

Number of Information Collection (IC) in this ICR: 2

IC Title	Form No.	Form Name
FR 1413a
FR 1413b

---

ICR Summary 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	4	0	0	4	0	0
Annual Time Burden (Hours)	3	0	0	3	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: The Board’s EEO complaint regulation (12 CFR Part 268) has been in place at the Board since August 7, 2006. However, the reporting requirements were not previously cleared under the PRA. The Board is now finalizing the clearance of the FR 1413a and FR 1413b forms under the PRA.

---

Annual Cost to Federal Government: $41,700

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     Yes

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? No

---

Common Form ICR:  No

---

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 01/31/2026

---