OMB control number

FCC Anti-Harassment Intake Form

OMB 3060-1267 · FCC.

OMB 3060-1267

This information, completed on FCC Form 5632, will be used by the EEO Director and HRM to process, track, and maintain the confidentiality of Anti-Harassment Intake Form requests.

The latest form for FCC Anti-Harassment Intake Form expires 2028-09-30 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
Form FCC Form 5632 Individuals or Households Form
PRA Anti-Harassment Supporting Statement_FINAL VERSION.docx Supporting Statement A
Federal Government
Individuals or Households Form

All Historical Document Collections

202509-3060-001 Approved without change	Extension without change of a currently approved collection	2025-09-09
202212-3060-011 Approved without change	Extension without change of a currently approved collection	2022-12-23
202002-3060-026 Approved without change	No material or nonsubstantive change to a currently approved collection	2020-02-25
201910-3060-011 Approved with change	New collection (Request for a new OMB Control Number)	2019-10-10

OMB Details

Individuals or Households

Federal Enterprise Architecture: General Government - Central Fiscal Operations

Form FCC Form 5632

FCC Anti-Harassment Intake Form

Fillable Fileable Signable

Form

Review document collections for all forms, instructions, and supporting documents - including paper/printable forms.