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Please note that the OMB number and expiration date may not have been determined when this Information Collection Request and associated Information Collection forms were submitted to OMB. The approved OMB number and expiration date may be found by clicking on the Notice of Action link below.
View ICR - OIRA Conclusion
OMB Control No:
1250-0002
ICR Reference No:
201101-1250-001
Status:
Historical Active
Previous ICR Reference No:
201003-1250-002
Agency/Subagency:
DOL/OFCCP
Agency Tracking No:
Title:
Office of Federal Contract Compliance Programs Complaint Form
Type of Information Collection:
Revision of a currently approved collection
Common Form ICR:
No
Type of Review Request:
Regular
OIRA Conclusion Action:
Approved without change
Conclusion Date:
03/14/2011
Retrieve Notice of Action (NOA)
Date Received in OIRA:
01/31/2011
Terms of Clearance:
Inventory as of this Action
Requested
Previously Approved
Expiration Date
03/31/2014
36 Months From Approved
03/31/2011
Responses
602
0
594
Time Burden (Hours)
771
0
760
Cost Burden (Dollars)
283
0
261
Abstract:
The complaint form is prepared by individuals who allege illegal discrimination by Federal contractors under any of the three programs administered by OFCCP.
Authorizing Statute(s):
EO: EO 11246 Name/Subject of EO: EEO and AA Guidelines for Federal Contractors Regarding Race, Color, Gender and National Origin
US Code:
29 USC 793 - Section 503
Name of Law: Section 503- Rehabilitation Act of 1973
US Code:
38 USC 4212
Name of Law: Vietnam Ear Veterans' Redjustment Assistance Act of 1974
Citations for New Statutory Requirements:
None
Associated Rulemaking Information
RIN:
Stage of Rulemaking:
Federal Register Citation:
Date:
Not associated with rulemaking
Federal Register Notices & Comments
60-day Notice:
Federal Register Citation:
Citation Date:
75 FR 70948
11/19/2010
30-day Notice:
Federal Register Citation:
Citation Date:
76 FR 5404
01/31/2011
Did the Agency receive public comments on this ICR?
No
Number of Information Collection (IC) in this ICR:
1
IC Title
Form No.
Form Name
OFCCP Complaint Form
CC-4
Complaint of Discrimination in Employment-OFCCP Complaint Form
ICR Summary of Burden
Total Approved
Previously Approved
Change Due to New Statute
Change Due to Agency Discretion
Change Due to Adjustment in Estimate
Change Due to Potential Violation of the PRA
Annual Number of Responses
602
594
0
0
8
0
Annual Time Burden (Hours)
771
760
0
0
11
0
Annual Cost Burden (Dollars)
283
261
0
0
22
0
Burden increases because of Program Change due to Agency Discretion:
No
Burden Increase Due to:
Burden decreases because of Program Change due to Agency Discretion:
No
Burden Reduction Due to:
Short Statement:
Based on an increase in the number of complaints received since the last Clearance, we estimate an annual complaint volume of 602. There has been an increase in the burden hours from 760 to 770 an adjustment of +10 hours.
Annual Cost to Federal Government:
$36,198
Does this IC contain surveys, censuses, or employ statistical methods?
No
Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002?
No
Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]?
No
Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]?
No
Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)?
No
Is this ICR related to the Pandemic Response?
Uncollected
Agency Contact:
Terry Hankerson 202-693-1151 Hankerson.Terry@dol.gov
Common Form ICR:
No
On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
(a) It is necessary for the proper performance of agency functions;
(b) It avoids unnecessary duplication;
(c) It reduces burden on small entities;
(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;
(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;
(f) It indicates the retention periods for recordkeeping requirements;
(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:
(i) Why the information is being collected;
(ii) Use of information;
(iii) Burden estimate;
(iv) Nature of response (voluntary, required for a benefit, or mandatory);
(v) Nature and extent of confidentiality; and
(vi) Need to display currently valid OMB control number;
(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.
(i) It uses effective and efficient statistical survey methodology (if applicable); and
(j) It makes appropriate use of information technology.
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
Certification Date:
01/31/2011
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