OMB control number
Workplace Discrimination Complaints
OMB 3060-1237 · FCC.
OMB 3060-1237
This information will be used by the OWD to seek resolution of, investigate, and issue Final Agency Decisions regarding allegations of discrimination and/or retribution or reprisals towards FCC employees, former employees or applicants (respondents) for employment at the FCC.
The latest form for Workplace Discrimination Complaints expires 2029-03-31 and can be found here.
Latest Forms, Documents, and Supporting Material
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Federal Government All Historical Document Collections
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Approved without change |
Extension without change of a currently approved collection | 2026-03-02 | |
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Approved without change |
No material or nonsubstantive change to a currently approved collection | 2025-04-30 | |
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Approved without change |
Extension without change of a currently approved collection | 2023-05-30 | |
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Approved without change |
No material or nonsubstantive change to a currently approved collection | 2022-11-30 | |
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Approved without change |
No material or nonsubstantive change to a currently approved collection | 2022-06-21 | |
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Approved without change |
Extension without change of a currently approved collection | 2020-05-28 | |
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Approved without change |
New collection (Request for a new OMB Control Number) | 2017-05-10 |
OMB Details
Individuals or Households
Federal Enterprise Architecture: General Government - Central Fiscal Operations
| Form FCC Form 5622 | FORMAL COMPLAINT OF DISCRIMINATION | Fillable Fileable Signable | Form |
Review document collections for all forms, instructions, and supporting documents - including paper/printable forms.