View Information Collection (IC)

View Information Collection (IC)

IC Title:	OFCCP Complaint Form	Agency IC Tracking Number:

Is this a Common Form? Yes		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation: 41 CFR 60-1.23(a) 41 CFR 60-250.61(b) 41 CFR 60-741.61(c) (To search for a specific CFR, visit the Code of Federal Regulations.)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	CC-4	Complaint of Discrimination in Employment Under Federal Government Contracts	NewCC-4Wchgs-09-25-07.pdf		Yes	Yes	Fillable Printable
Form and Instruction	CC-4	OFCCP Complaint Form	CC-4ComplaintForm-06-13-07.pdf	http://www.dol.gov/esa/regs/compliance/ofccp/pdf/pdfstart.htm	Yes	Yes	Fillable Fileable

Federal Enterprise Architecture Business Reference Module

Line of Business: Workforce Management

Subfunction: Labor Rights Management

Privacy Act System of Records
Title: OFCCP Complaint Form	FR Citation: 5 FR 552

Number of Respondents: 594	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 19 %

	Approved	Program Change Due to New Statute	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate	Change Due to Potential Violation of the PRA	Previously Approved
Annual Number of Responses for this IC	594	0	0	-254	0	848
Annual IC Time Burden (Hours)	760	0	0	-325	0	1,085
Annual IC Cost Burden (Dollars)	261	0	0	261	0	0

Documents for IC

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.