Information Collection

Individual Complaint of Employment Discrimination

IC 44070 under ICR 202607-2105-001 · OMB 2105-0556.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form DOT F 1050–8 Individual Complaint of Employment Individual Complaint of Employment Discrimination	Form and Instruction
DOT F 1050–8 Individual Complaint of Employment INDIVIDUAL COMPLAINT OF EMPLOYMENT DISCRIMINATION FORM 1050-8_FINAL0.pdf secure.dot.gov/form/eeoc	Form and Instruction

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation: 29 CFR 1614

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
Form and Instruction	DOT F 1050â8			https://secure.dot.gov/form/eeoc	Yes	Yes	Fillable Fileable

Line of Business: Workforce Management

Subfunction: Labor Rights Management

Privacy Act System of Records

Title: EEOC/GOVT-1 - Equal Employment Opportunity in the Federal Government Complaint and Appeal Records

FR Citation: 67 FR 49354

Number of Respondents: 244

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	244	-31	275
Annual IC Time Burden (Hours)	244	-31	275
Annual IC Cost Burden (Dollars)	2,135	-238,490	240,625

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.

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