[Federal Register Volume 80, Number 17 (Tuesday, January 27, 2015)]
[Notices]
[Page 4337]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2015-01388]


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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 Resolution Management, 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 
Resolution Management (ORM), Department of Veterans Affairs, will 
submit the collection of information abstracted below to the Office of 
Management and Budget (OMB) for review and comments. The PRA submission 
describes the nature of the information collection and its expected 
cost and burden; it includes the actual data collection instrument.

DATES: Written comments and recommendations on the proposed collection 
of information should be received on or before February 26, 2015.

ADDRESSES: Submit written comments on the collection of information 
through www.Regulations.gov, or to Office of Information and Regulatory 
Affairs, Office of Management and Budget, Attn: VA Desk Officer; 725 
17th St. NW., Washington, DC 20503 or sent through electronic mail to 
[email protected]. Please refer to ``OMB Control No. 2900-
0716'' in any correspondence. During the comment period, comments may 
be viewed online through the FDMS.

FOR FURTHER INFORMATION CONTACT: Crystal Rennie, Enterprise Records 
Service (005R1B), Department of Veterans Affairs, 810 Vermont Avenue 
NW., Washington, DC 20420, (202) 632-7492 or email 
[email protected]. Please refer to ``OMB Control No. 2900-0716'' in 
any correspondence.

SUPPLEMENTARY INFORMATION:
    Title: Complaint of Employment Discrimination.
    OMB Control Number: 2900-0716.
    Type of Review: Revision of a currently approved collection.
    Abstract: VA employees, former employees, applicants for employment 
and contractors who believe they were subject to discrimination because 
of their Race, Color, Religion, Sex, National Origin, Age, Disability, 
Genetic Information (including family medical history), and Reprisal 
for participating in the EEO process or opposing unlawful 
discrimination 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 at 79 FR 67242, November 12, 2014.
    Affected Public: Individuals or households.
    Estimated Annual Burden: 158 hours.
    Estimated Average Burden per Respondent: 30 minutes.
    Frequency of Response: On occasion.
    Estimated Number of Respondents: 315.

    Dated: January 22, 2015.

    By direction of the Secretary:
Crystal Rennie,
Department of Clearance Officer, Department of Veterans Affairs.
[FR Doc. 2015-01388 Filed 1-26-15; 8:45 am]
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