[Federal Register Volume 76, Number 127 (Friday, July 1, 2011)]
[Notices]
[Page 38743]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2011-16502]


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DEPARTMENT OF VETERANS AFFAIRS

[OMB Control No. 2900-0716]


Proposed Information Collection (Complaint of Employment 
Discrimination) Activity: Comment Request

AGENCY: Human Resources and Administration, Department of Veterans 
Affairs.

ACTION: Notice.

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SUMMARY: The Human Resources and Administration (HRA), Department of 
Veterans Affairs (VA), is announcing an opportunity for public comment 
on the proposed collection of certain information by the agency. Under 
the Paperwork Reduction Act (PRA) of 1995, Federal agencies are 
required to publish notice in the Federal Register concerning each 
proposed collection of information, including each proposed extension 
of a currently approved collection, and allow 60 days for public 
comment in response to the notice. This notice solicits comments on 
information needed to process a complaint of employment discrimination.

DATES: Written comments and recommendations on the proposed collection 
of information should be received on or before August 30, 2011.

ADDRESSES: Submit written comments on the collection of information 
through the Federal Docket Management System (FDMS) at http://www.Regulations.gov or to Lillette Turner-Nelson, Human Resources and 
Administration, Office of Resolution Management (08B), Department of 
Veterans Affairs, 810 Vermont Avenue, NW., Washington, DC 20420 or e-
mail: [email protected]. Please refer to ``OMB Control No. 
2900-0716'' in any correspondence.

FOR FURTHER INFORMATION CONTACT: Lillette Turner at (202) 501-2680 or 
Fax (202) 501-2811.

SUPPLEMENTARY INFORMATION: Under the PRA of 1995 (Pub. L. 104-13; 44 
U.S.C. 3501--3521), Federal agencies must obtain approval from the 
Office of Management and Budget (OMB) for each collection of 
information they conduct or sponsor. This request for comment is being 
made pursuant to Section 3506(c)(2)(A) of the PRA.
    With respect to the following collection of information, HRA 
invites comments on: (1) Whether the proposed collection of information 
is necessary for the proper performance of HRA's functions, including 
whether the information will have practical utility; (2) the accuracy 
of HRA's estimate of the burden of the proposed collection of 
information; (3) ways to enhance the quality, utility, and clarity of 
the information to be collected; and (4) ways to minimize the burden of 
the collection of information on respondents, including through the use 
of automated collection techniques or the use of other forms of 
information technology.
    Title: Complaint of Employment Discrimination, VA Form 4939.
    OMB Control Number: 2900-0716.
    Type of Review: Extension of a currently approved collection.
    Abstract: VA employees, former employees and applicants for 
employment who believe they were denied employment based on race, 
color, religion, gender, national origin age, physical or mental 
disability and/or reprisal for prior Equal Employment Opportunity 
activity complete VA Form 4939 to file a complaint of discrimination.
    Affected Public: Individuals or households.
    Estimated Annual Burden: 200 hours.
    Estimated Average Burden per Respondent: 30 minutes.
    Frequency of Response: One time.
    Estimated Number of Respondents: 419.

    Dated: June 27, 2011.

    By direction of the Secretary.
Denise McLamb,
Program Analyst, Enterprise Records Service.
[FR Doc. 2011-16502 Filed 6-30-11; 8:45 am]
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