Document ID: DOT-OST-2012-0073-0002
Agency: dot
Document Type: Notice
Title: Agency Information Collection Activities; Proposals, Submissions, and Approvals
Posted Date: 2012-12-06T05:00Z

[Federal Register Volume 77, Number 235 (Thursday, December 6, 2012)]
[Notices]
[Page 72905]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2012-29483]

[[Page 72905]]

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DEPARTMENT OF TRANSPORTATION

Office of the Secretary

[Docket No. OST-2012-0073]

Notice of Request for Information Collection Approval

AGENCY: Office of the Secretary, DOT.

ACTION: Notice.

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SUMMARY: In accordance with the Paperwork Reduction Act of 1995 (44 
U.S.C. 3501 et. seq.), this notice announces that the U.S. Department 
of Transportation (DOT) has forwarded the Information Collection 
Request (ICR) abstracted below to the Office of Management and Budget 
(OMB) for renewal. The ICR describes the nature of the information 
collection and its expected cost and burden hours. The OMB approved the 
form in 2009 with its renewal required by September 30, 2012. The 
Federal Register Notice with a 60-day comment period soliciting 
comments on the form renewal was published on May 18, 2012, [FR Vol. 
77, No. 97, page 29747]. No comments were received.

DATES: Comments on this notice must be received by January 7, 2013: 
Attention DOT/OST Desk Officer, Office of Information and Regulatory 
Affairs, Office of Management and Budget, Docket Library, Room 10102, 
725 17th Street NW., Washington, DC 20503.

FOR FURTHER INFORMATION CONTACT: Tami Wright, Associate Director, 
Compliance Operations Division (S-34), Departmental Office of Civil 
Rights, Office of the Secretary, U.S. Department of Transportation, 
1200 New Jersey Avenue SE., Washington, DC 20590, 202-366-9370 or (TTY) 
202-366-0663.

SUPPLEMENTARY INFORMATION: 
    Form Title(s): EEO Counselor Checklist (DTO F 1050-1); ONE DOT 
Sharing Neutrals Program Mediation Intake (DOT F 1050-2); Agreement to 
Mediate (DOT F 1050-3); Exit Survey for Mediation Participants (DOT F 
1050-4); Agreement to Postpone the Final Interview and to Extend the 
Counseling Period (DOT F-1050-5); Notice of Right to File a 
Discrimination Complaint (DOT F 1050-6); Notice of Rights and 
Responsibilities (DOT F 1050-7); Individual Complaint of Employment 
Discrimination (DOT F 1050-8); Designation of Representative (DOT F 
1050-9); Final Agency Decision Request (DOT F 1050-10); and Waiver of 
Right to Anonymity (DOT F 1050-11).
    OMB Control Number: OMB 2105-0556.
    Abstract: DOT will utilize the forms to collect information 
necessary to process Equal Employment Opportunity (EEO) discrimination 
complaints filed by individuals who are not Federal employees and are 
applicants for employment with the Department. These complaints are 
processed in accordance with the Equal Employment Opportunity 
Commission's regulations, 29 CFR part 1614, as amended. DOT will use 
the forms to: (a) request requisite information from the applicant for 
processing his or her EEO employment discrimination complaint; and (b) 
obtain information to identify an individual or his or her attorney or 
other representative, if appropriate. An applicant's filing of an EEO 
employment complaint is solely voluntary. DOT estimates that it takes 
an applicant approximately two and one-half hours to complete the 
forms.
    Affected Public: Job applicants filing EEO employment 
discrimination complaints.
    Annual Estimated Burden: 25 hours.
    Frequency of Collection: An applicant's filing of an EEO complaint 
is solely voluntary.
    Comments are Invited on: (a) Whether the proposed collection of 
information is reasonable for the proper performance of the EEO 
functions of the Department; (b) the accuracy of the Department's 
estimate of the burden of the proposed information Collection, 
including the validity of methodology and assumptions used; (c) ways to 
enhance the quality, utility, and clarity of the information to be 
collected; and (d) ways to minimize the burden of the collection of 
information on those who are to respond, including use of appropriate, 
automated, electronic, mechanical, or other technology. Comments should 
be addressed to the address in the preamble. All responses to this 
notice will be summarized and included in the request for Office of 
Management and Budget approval. All comments will also become a matter 
of public record.

    Issued in Washington, DC, on November 30, 2012.
Claire Barrett,
Chief Privacy & Information Asset Officer, U.S. Department of 
Transportation.
[FR Doc. 2012-29483 Filed 12-5-12; 8:45 am]
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