[Federal Register Volume 81, Number 129 (Wednesday, July 6, 2016)]
[Notices]
[Page 44095]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2016-15987]


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DEPARTMENT OF VETERANS AFFAIRS

[OMB Control No. 2900-0716]


Proposed Information Collection (Complaint of Employment 
Discrimination, VA Form 4939; Information for Pre-Complaint Processing, 
VA Form 08-10192) Activity: Comment Request

AGENCY: The Office of Resolution Management, Department of Veterans 
Affairs.

ACTION: Notice.

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SUMMARY: The Office of Resolution Management (ORM), 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 revision of 
a currently approved collection. This notice solicits comments on 
information needed to process a complaint of employment discrimination.

DATES: Comments must be submitted on or before August 5, 2016.

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.

FOR FURTHER INFORMATION CONTACT: Cynthia Harvey-Pryor, Enterprise 
Records Service (005R1B), Department of Veterans Affairs, 810 Vermont 
Avenue NW., Washington, DC 20420, (202) 461-5870 or email 
[email protected]. Please refer to ``OMB Control No. 2900-
0716.''

SUPPLEMENTARY INFORMATION:
    Title: Complaint of Employment Discrimination, VA Form 4939; 
Information for Pre-Complaint Processing, VA Form 08-10192
    OMB Control Number: 2900-0716.
    Type of Review: Revision request for inclusion of VA Form 08-10192.
    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, genetic information and/or reprisal for prior Equal 
Employment Opportunity activity complete VA Form 4939 to file a 
complaint of discrimination. VA Form 08-10192 is the initial contact 
form filled out by individuals who believe they may have been 
discriminated against.
    Affected Public: Individuals or households.
    Estimated Annual Burden: 512.
    Estimated Average Burden per Respondent: 30 minutes.
    Frequency of Response: Annually.
    Estimated Number of Respondents: 1022.

    By direction of the Secretary:
Kathleen Manwell,
Program Analyst, VA Privacy Service, Office of Privacy and Records 
Management, Department of Veterans Affairs.
[FR Doc. 2016-15987 Filed 7-5-16; 8:45 am]
 BILLING CODE 8320-01-P