OMB control number
FCC Anti-Harassment Intake Form
OMB 3060-1267 ยท FCC.
OMB 3060-1267
This information, completed on FCC Form 5632, will be used by the EEO Director and HRM to process, track, and maintain the confidentiality of Anti-Harassment Intake Form requests.
The latest form for FCC Anti-Harassment Intake Form expires 2028-09-30 and is listed under ICR 202509-3060-001.
Latest Forms, Documents, and Supporting Material
| Document | Type |
|---|---|
 Form FCC Form 5632 FCC Anti-Harassment Intake Form | Form |
| PRA Anti-Harassment Supporting Statement_FINAL VERSION.docx | Supporting Statement A |
 Federal Government |
Information collection |
| Individuals or Households |
Form |
All Historical Document Collections
| Reference | Filing | Received | Concluded | Action |
|---|---|---|---|---|
| 202509-3060-001 | Extension without change of a currently approved collection | 2025-09-09 | Approved without change | |
| 202212-3060-011 | Extension without change of a currently approved collection | 2022-12-23 | Approved without change | |
| 202002-3060-026 | No material or nonsubstantive change to a currently approved collection | 2020-02-25 | Approved without change | |
| 201910-3060-011 | New collection (Request for a new OMB Control Number) | 2019-10-10 | Approved with change |
OMB Details
Individuals or Households
Federal Enterprise Architecture: General Government - Central Fiscal Operations
| Form | Name | Electronic access | Type |
|---|---|---|---|
| Form FCC Form 5632 | FCC Anti-Harassment Intake Form | Fillable Fileable Signable | Form |
Review document collections for all forms, instructions, and supporting documents - including paper/printable forms.