Workplace Discrimination Complaints

OMB 3060-1237

OMB 3060-1237

FCC employees, former employees and applicants for employment who believe they were denied equal employment opportunity based on race, color, religion, gender, national origin, age, physical or mental disability, genetic information and/or reprisal will complete FCC-5621 and FCC-5622.

The latest form for Workplace Discrimination Complaints expires 2023-05-31 and can be found here.

OMB Details

Individuals or Households

Federal Enterprise Architecture: General Government - Central Fiscal Operations

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