View Information Collection Request (ICR) Package

View ICR - Agency Submission

OMB Control No: 2105-0556	ICR Reference No: 202607-2105-001
Status: Received in OIRA	Previous ICR Reference No: 202304-2105-001
Agency/Subagency: DOT/OST	Agency Tracking No:
Title: Individual Complaint of Employment Discrimination
Type of Information Collection: Reinstatement with change of a previously approved collection	Common Form ICR: No
Type of Review Request: Regular	Date Submitted to OIRA: 07/13/2026

	Requested	Previously Approved
Expiration Date	36 Months From Approved
Responses	244	0
Time Burden (Hours)	244	0
Cost Burden (Dollars)	2,135	0

ICR Summary of Burden

	Total Request	Change Due to Agency Discretion	Change Due to Potential Violation of the PRA
Annual Number of Responses	244	-31	275
Annual Time Burden (Hours)	244	-31	275
Annual Cost Burden (Dollars)	2,135	-238,490	240,625

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: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: Burden reduction is hours is due to reducing the estimate number of respondents. Burden reduction in Annual Cost is due to correcting a previous error where cost per respondent was entered in ROCIS as $875 per respondent instead of $8.75 per respondent.

Annual Cost to Federal Government: $0

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: Sierra Collins 202 934-3439 sierra.collins@dot.gov

Something went wrong when downloading this file. If you have any questions, please send an email to risc@gsa.gov.