[Federal Register Volume 76, Number 177 (Tuesday, September 13, 2011)]
[Notices]
[Page 56506]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2011-23351]


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DEPARTMENT OF VETERANS AFFAIRS

[OMB Control No. 2900-0716]


Agency Information Collection (Complaint of Employment 
Discrimination) Activity Under OMB Review

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

ACTION: Notice.

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SUMMARY: In compliance with the Paperwork Reduction Act (PRA) of 1995 
(44 U.S.C. 3501-21), this notice announces that the Office of Human 
Resources and Administration (OHR&A), Department of Veterans Affairs, 
will submit the collection of information abstracted below to the 
Office of Management and Budget (OMB) for review and comment. The PRA 
submission describes the nature of the information collection and its 
expected cost and burden; it includes the actual data collection 
instrument.

DATES: Comments must be submitted on or before October 13, 2011.

ADDRESSES: Submit written comments on the collection of information 
through http://www.Regulations.gov; or to VA's OMB Desk Officer, OMB 
Human Resources and Housing Branch, New Executive Office Building, Room 
10235, Washington, DC 20503, (202) 395-7316. Please refer to ``OMB 
Control No. 2900-0716'' in any correspondence.

FOR FURTHER INFORMATION CONTACT: Denise McLamb, Enterprise Records 
Service (005R1B), Department of Veterans Affairs, 810 Vermont Avenue, 
NW., Washington, DC 20420, (202) 461-7485, fax (202) 461-0966 or e-mail 
[email protected]. Please refer to ``OMB Control No. 2900-0716.''

SUPPLEMENTARY INFORMATION:
    Title: Complaint of Employment Discrimination, VA Form 4939.
    OMB Control Number: 2900-0716.
    Type of Review: Existing 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 complaint of discrimination.
    An agency may not conduct or sponsor, and a person is not required 
to respond to a collection of information unless it displays a 
currently valid OMB control number. The Federal Register Notice with a 
60-day comment period soliciting comments on this collection of 
information was published on July 1, 2011, at page 38743.
    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: September 8, 2011.

    By direction of the Secretary.
Denise McLamb,
Enterprise Records Service.
[FR Doc. 2011-23351 Filed 9-12-11; 8:45 am]
BILLING CODE 8320-01-P