View Information Collection Request (ICR) Package

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View ICR - OIRA Conclusion

OMB Control No: 1610-0001	ICR Reference No: 202306-1610-001
Status: Active	Previous ICR Reference No: 202103-1610-001
Agency/Subagency: DHS/OCR	Agency Tracking No:
Title: DHS Individual Complaint of Employment Discrimination
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 04/16/2024
	Date Received in OIRA: 06/30/2023
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	04/30/2027	36 Months From Approved	04/30/2024
Responses	136	0	136
Time Burden (Hours)	68	0	68
Cost Burden (Dollars)	0	0	0

Authorizing Statute(s): US Code: 42 USC 2000e Name of Law: Title VII of the Civil Rights Act
   US Code: 29 USC 621 Name of Law: Age Discrimination in Employment Act
   US Code: 29 USC 791 Name of Law: Rehabilitation Act
   US Code: 22 USC 206 Name of Law: Equal Pay Act
   EO: EO 11478 Name/Subject of EO: Equal employment opportunity in the Federal Government
   US Code: 42 USC 2000ff Name of Law: Genetic Information Nondiscrimination Act (GINA)

Citations for New Statutory Requirements: None

Annual Cost to Federal Government: $34,878

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination. Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination. Yes

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? No

Agency Contact: Tyrone Huff 202 447-0106 tyrone.huff@associates.dhs.gov

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