Reporting Process for Complaint of Employment Discrimination Used by Permanent Employees and Applicants for Employment at DOC and Complaint of Employment Discrimination for the Decennial Census

OMB 0690-0015

Pursuant to the Equal Employment Opportunity Commission (EEOC) governing regulations found in 20 CFR 1614.106, someone alleging that they were subjected to discriminatory treatment by the Department of Commerce or one of its subagencies needs to submit a signed statement that is sufficiently precise to identify the general actions or practices that form the basis of the complaint. The complaint is also required to contain an address and phone number where the complainant or their representative may be contacted.

The latest form for Reporting Process for Complaint of Employment Discrimination Used by Permanent Employees and Applicants for Employment at DOC and Complaint of Employment Discrimination for the Decennial Census expires 2021-01-31 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
Form CD498 Complaint of Employment Discrimination (Used by Permanent Employees and Applicants for Employment at DOC) Form
Form CD-498A Complaint of Employment Discrimination for the Decennial Census Form and Instruction
Supporting Statement Part A 0690-0015 March 2024.docx Supporting Statement A
DAO 215-9 (Processing Complaints).pdf Supplementary Document
Executive Order 11478.docx Supplementary Document
Complaint of Employment Discrimination (Used by Permanent Employees and Applicants for Employment at DOC) Form
Complaint of Employment Discrimination for the Decennial Census Form and Instruction

All Historical Document Collections

202403-0690-001	Revision of a currently approved collection	2024-03-25
202011-0690-001	Extension without change of a currently approved collection	2020-12-22
201710-0690-002 Approved without change	Extension without change of a currently approved collection	2017-10-27
201407-0690-003 Approved without change	Extension without change of a currently approved collection	2014-08-05
201106-0690-002 Approved with change	Revision of a currently approved collection	2011-07-25
201001-0690-001 Approved without change	No material or nonsubstantive change to a currently approved collection	2010-01-07
200802-0690-002 Approved without change	Reinstatement without change of a previously approved collection	2008-04-16
199809-0690-001 Approved without change	Revision of a currently approved collection	1998-09-04
199803-0690-001 Approved without change	New collection (Request for a new OMB Control Number)	1998-03-30

OMB Details

Complaint of Employment Discrimination (Used by Permanent Employees and Applicants for Employment at DOC)

Federal Enterprise Architecture: General Government - Executive Functions

Form CD-498

Complaint of Employment Discrimination (Used by Permanent Employees and Applicants for Employment at DOC)

Paper Only

Form and instruction

Review document collections for all forms, instructions, and supporting documents - including paper/printable forms.