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ANNUAL FEDERAL EQUAL EMPLOYMENT OPPORTUNITY
STATISTICAL REPORT OF DISCRIMINATION COMPLAINTS
(REPORTING PERIOD BEGINS OCTOBER 1ST AND ENDS SEPTEMBER 30TH)

AGENCY OR DEPARTMENT:

REPORTING PERIOD: FY

PART I - PRE-COMPLAINT COUNSELING


EEO COUNSELOR
	COUNSELINGS	INDIVIDUALS

A. TOTAL COMPLETED/ENDED COUNSELINGS

1. COUNSELED WITHIN 30 DAYS

2. COUNSELED WITHIN 31 TO 90 DAYS
a. COUNSELED WITHIN WRITTEN EXTENSION PERIOD NO LONGER THAN 60 DAYS
b. COUNSELED WITHIN 90 DAYS WHERE INDIVIDUAL PARTICIPATED IN ADR
c. COUNSELED WITHIN 31-90 DAYS THAT WERE UNTIMELY
3. COUNSELED BEYOND 90 DAYS
4. COUNSELED DUE TO REMANDS

ADR INTAKE OFFICER
	COUNSELINGS	INDIVIDUALS
B. TOTAL COMPLETED/ENDED COUNSELINGS

1. COUNSELED WITHIN 30 DAYS

2. COUNSELED WITHIN 31 TO 90 DAYS
a. COUNSELED WITHIN WRITTEN EXTENSION PERIOD NO LONGER THAN 60 DAYS
b. COUNSELED WITHIN 90 DAYS WHERE INDIVIDUAL PARTICIPATED IN ADR
c. COUNSELED WITHIN 31-90 DAYS THAT WERE UNTIMELY
3. COUNSELED BEYOND 90 DAYS
4. COUNSELED DUE TO REMANDS

COMBINED TOTAL
	COUNSELINGS	INDIVIDUALS

C. TOTAL COMPLETED/ENDED COUNSELINGS

1. COUNSELED WITHIN 30 DAYS

2. COUNSELED WITHIN 31 TO 90 DAYS
a. COUNSELED WITHIN WRITTEN EXTENSION PERIOD NO LONGER THAN 60 DAYS
b. COUNSELED WITHIN 90 DAYS WHERE INDIVIDUAL PARTICIPATED IN ADR
c. COUNSELED WITHIN 31-90 DAYS THAT WERE UNTIMELY
3. COUNSELED BEYOND 90 DAYS
4. COUNSELED DUE TO REMANDS


	COUNSELINGS	INDIVIDUALS
D. COUNSELING ACTIVITIES
1. ON HAND AT THE BEGINNING OF THE REPORTING PERIOD
2. INITIATED DURING THE REPORTING PERIOD
3. COMPLETED/ENDED COUNSELINGS
a. SETTLEMENTS (MONETARY AND NON-MONETARY)
b. WITHDRAWALS/NO COMPLAINT FILED
c. COUNSELINGS COMPLETED/ENDED IN REPORTING PERIOD THAT RESULTED IN COMPLAINT FILINGS IN REPORTING PERIOD
d. DECISION TO FILE COMPLAINT PENDING AT THE END OF THE REPORTING PERIOD
4. COUNSELINGS PENDING AT THE END OF THE REPORTING PERIOD

E. NON-ADR SETTLEMENTS WITH MONETARY BENEFITS
	COUNSELINGS	INDIVIDUALS	AMOUNT
TOTAL			$
1. COMPENSATORY DAMAGES			$
2. BACKPAY/FRONTPAY			$
3. LUMP SUM PAYMENT			$
4. ATTORNEY FEES AND COSTS			$
5.
6.
7.

F. NON-ADR SETTLEMENTS WITH NON-MONETARY BENEFITS
	COUNSELINGS	INDIVIDUALS
TOTAL
1. HIRES
a. RETROACTIVE
b. NON-RETROACTIVE
2. PROMOTIONS
a. RETROACTIVE
b. NON-RETROACTIVE
3. EXPUNGEMENTS
4. REASSIGNMENTS
5. REMOVALS RESCINDED
a. REINSTATEMENT
b. VOLUNTARY RESIGNATION
6. ACCOMMODATIONS
7. TRAINING
8. APOLOGY
9. DISCIPLINARY ACTIONS
a. RESCINDED
b. MODIFIED
10. PERFORMANCE EVALUATION MODIFIED
11. LEAVE RESTORED
12.
13.

G. ADR SETTLEMENTS WITH MONETARY BENEFITS
	COUNSELINGS	INDIVIDUALS	AMOUNT
TOTAL			$
1. COMPENSATORY DAMAGES			$
2. BACKPAY/FRONTPAY			$
3. LUMP SUM PAYMENT			$
4. ATTORNEY FEES AND COSTS			$
5.
6.
7.

H. ADR SETTLEMENTS WITH NON-MONETARY BENEFITS
	COUNSELINGS	INDIVIDUALS
TOTAL
1. HIRES
a. RETROACTIVE
b. NON-RETROACTIVE
2. PROMOTIONS
a. RETROACTIVE
b. NON-RETROACTIVE
3. EXPUNGEMENTS
4. REASSIGNMENTS
5. REMOVALS RESCINDED
a. REINSTATEMENT
b. VOLUNTARY RESIGNATION
6. ACCOMMODATIONS
7. TRAINING
8. APOLOGY
9. DISCIPLINARY ACTIONS
a. RESCINDED
b. MODIFIED
10. PERFORMANCE EVALUATION MODIFIED
11. LEAVE RESTORED
12.
13.

I. NON-ADR SETTLEMENTS
	COUNSELINGS	INDIVIDUALS
TOTAL

ANNUAL FEDERAL EQUAL EMPLOYMENT OPPORTUNITY
STATISTICAL REPORT OF DISCRIMINATION COMPLAINTS
(REPORTING PERIOD BEGINS OCTOBER 1ST AND ENDS SEPTEMBER 30TH)

AGENCY OR DEPARTMENT:

REPORTING PERIOD: FY

PART II - FORMAL COMPLAINT ACTIVITIES
__________	A. COMPLAINTS ON HAND AT THE BEGINNING OF THE REPORTING PERIOD
__________	B. COMPLAINTS FILED
__________	C. REMANDS
__________	C.1. REMANDS (NOT INCLUDED IN A. OR B.)
__________	C.2. REMANDS (INCLUDED IN A. OR B.)

__________	D. TOTAL COMPLAINTS

__________	E. COMPLAINTS IN LINE D THAT WERE NOT CONSOLIDATED

__________	F. COMPLAINTS IN LINE E CLOSED DURING REPORT PERIOD

__________	G. COMPLAINTS IN LINE D THAT WERE CONSOLIDATED

__________	H. COMPLAINTS IN LINE G CLOSED DURING REPORT PERIOD

__________	I. COMPLAINTS ON HAND AT THE END OF THE REPORTING PERIOD (Line D - (sum of Lines F+H))

__________	J. INDIVIDUALS FILING COMPLAINTS

__________	K. NUMBER OF JOINT PROCESSING UNITS FROM CONSOLIDATION OF COMPLAINTS

PART III - AGENCY RESOURCES, TRAINING, REPORTING LINE
A. AGENCY & CONTRACT RESOURCES
	AGENCY		CONTRACT
	NUMBER	PERCENT	NUMBER	PERCENT
1. WORK FORCE
a. TOTAL WORK FORCE
b. PERMANENT EMPLOYEES
2. COUNSELOR
a. FULL-TIME
b. PART-TIME
c. COLLATERAL DUTY

3. INVESTIGATOR
a. FULL-TIME
b. PART-TIME
c. COLLATERAL DUTY

4. COUNSELOR/INVESTIGATOR
a. FULL-TIME
b. PART-TIME
c. COLLATERAL DUTY

B. AGENCY & CONTRACT STAFF TRAINING
	COUNSELORS		INVESTIGATORS		COUNS/INVESTIG
	AGENCY	CONTRACT	AGENCY	CONTRACT	AGENCY	CONTRACT
1. NEW STAFF - TOTAL
a. STAFF RECEIVING REQUIRED 32 OR MORE HOURS
b. STAFF RECEIVING 8 OR MORE HOURS, USUALLY GIVEN TO EXPERIENCED STAFF
c. STAFF RECEIVING NO TRAINING AT ALL
2. EXPERIENCED STAFF - TOTAL
a. STAFF RECEIVING REQUIRED 8 OR MORE HOURS
b. STAFF RECEIVING 32 OR MORE HOURS, GENERALLY GIVEN TO NEW STAFF
c. STAFF RECEIVING NO TRAINING AT ALL

C. REPORTING LINE
1. DOES THE EEO DIRECTOR REPORT TO THE AGENCY HEAD?	YES	NO

2. IF NO, WHO DOES THE EEO DIRECTOR REPORT TO? PERSON: TITLE:
3. WHO IS RESPONSIBLE FOR THE DAY-TO-DAY OPERATION OF THE EEO PROGRAM IN YOUR DEPARTMENT/AGENCY/ORGANIZATION? PERSON: TITLE:
4 WHO DOES THAT PERSON REPORT TO? PERSON: TITLE:

ANNUAL FEDERAL EQUAL EMPLOYMENT OPPORTUNITY
STATISTICAL REPORT OF DISCRIMINATION COMPLAINTS
(REPORTING PERIOD BEGINS OCTOBER 1ST AND ENDS SEPTEMBER 30TH)
PART IV - BASES AND ISSUES ALLEGED IN COMPLAINTS FILED
AGENCY OR DEPARTMENT:										REPORTING PERIOD: FY
ISSUES OF ALLEGED DISCRIMINATION	BASES OF ALLEGED DISCRIMINATION
	RACE				COLOR	RELIGION	REPRISAL	SEX		NATIONAL ORIGIN		EQUAL PAY ACT		AGE	DISABILITY		TOTAL BASES BY ISSUE	TOTAL COMPLAINTS BY ISSUE	TOTAL COMPLAINANTS BY ISSUE
	AMER. INDIAN / ALASKAN NATIVE	ASIAN / PACIFIC ISLANDER	BLACK	WHITE	COLOR	RELIGION	REPRISAL	MALE	FEMALE	HISPANIC	OTHER	MALE	FEMALE	AGE	MENTAL	PHYSICAL
A. APPOINTMENT/HIRE
B. ASSIGNMENT OF DUTIES
C. AWARDS
D. CONVERSION TO FULL TIME
E. DISCIPLINARY ACTION
1. DEMOTION
2. REPRIMAND
3. SUSPENSION
4. REMOVAL
5.
6.
7.
F. DUTY HOURS
G. EVALUATION/APPRAISAL
H. EXAMINATION/TEST
I. HARASSMENT
1. NON-SEXUAL
2. SEXUAL
J. MEDICAL EXAMINATION
K. PAY INCLUDING OVERTIME
L. PROMOTION/NON-SELECTION
M. REASSIGNMENT
1. DENIED
2. DIRECTED
N. REASONABLE ACCOMMODATION
O. REINSTATEMENT
P. RETIREMENT
Q. TERMINATION
R. TERMS/CONDITIONS OF EMPLOYMENT
S. TIME AND ATTENDANCE
T. TRAINING
U. OTHER (Please specify below)
1.
2.
3.
4.
5.
TOTAL ISSUES BY BASES
TOTAL COMPLAINTS FILED BY BASES
TOTAL COMPLAINANTS BY BASES

ANNUAL FEDERAL EQUAL EMPLOYMENT OPPORTUNITY
STATISTICAL REPORT OF DISCRIMINATION COMPLAINTS
(REPORTING PERIOD BEGINS OCTOBER 1ST AND ENDS SEPTEMBER 30TH)

AGENCY OR DEPARTMENT:

REPORTING PERIOD: FY

PART V - SUMMARY OF CLOSURES BY STATUTE
A. STATUTE (IF A SINGLE COMPLAINT HAS MULTIPLE STATUTES RECORD EACH ON THE APPROPRIATE LINE.)
__________ 1.	TITLE VII
__________ 2.	AGE DISRIMINATION IN EMPLOYMENT ACT (ADEA)
__________ 3.	REHABILITATION ACT
__________ 4.	EQUAL PAY ACT (EPA)
B. TOTAL BY STATUTES
__________ (A1+A2+A3+A4)	THIS NUMBER MAY BE LARGER THAN THE TOTAL NUMBER OF COMPLAINTS CLOSED.

PART VI - SUMMARY OF CLOSURES BY CATEGORY
		TOTAL NUMBER	TOTAL DAYS	AVERAGE DAYS
A. TOTAL NUMBER OF CLOSURES	(1+2+3)
1. WITHDRAWALS
a. NON-ADR WITHDRAWALS
b. ADR WITHDRAWALS
2. SETTLEMENTS
a. NON-ADR SETTLEMENTS
b. ADR SETTLEMENTS
3. FINAL AGENCY DECISIONS	( B+C )
B. FINAL AGENCY DECISIONS WITHOUT AN ADMINISTRATIVE JUDGE DECISION	(1+2+3)
1. FINDING DISCRIMINATION
2. FINDING NO DISCRIMINATION
3. DISMISSAL OF COMPLAINTS
C. FINAL AGENCY ACTIONS WITH AN ADMINISTRATIVE JUDGE (AJ) DECISION	(1+2)
1. AJ DECISION FULLY IMPLEMENTED	(a+b+c)
(a) FINDING DISCRIMINATION
(b) FINDING NO DISCRIMINATION
(c) DISMISSAL OF COMPLAINTS
2. AJ DECISION NOT FULLY IMPLEMENTED	(a+b+c)
(a) FINDING DISCRIMINATION	(i+ii+iii)
i. AGENCY APPEALED FINDING BUT NOT REMEDY
ii. AGENCY APPEALED REMEDY BUT NOT FINDING
iii. AGENCY APPEALED BOTH FINDING AND REMEDY
(b) FINDING NO DISCRIMINATION>
(c) DISMISSAL OF COMPLAINTS

ANNUAL FEDERAL EQUAL EMPLOYMENT OPPORTUNITY
STATISTICAL REPORT OF DISCRIMINATION COMPLAINTS
(REPORTING PERIOD BEGINS OCTOBER 1ST AND ENDS SEPTEMBER 30TH)

AGENCY OR DEPARTMENT:

REPORTING PERIOD: FY

PART VI - SUMMARY OF CLOSURES BY CATEGORY (Continued)
		TOTAL NUMBER	TOTAL DAYS	AVERAGE DAYS
D. FINAL AGENCY MERIT DECISIONS (FAD) ISSUED	(1+2+3)
1. COMPLAINANT REQUESTED IMMEDIATE FAD	(1a+1b)
a. AGENCY ISSUED FAD WITHIN 60 DAYS OF RECEIPT OF FAD REQUEST
b. AGENCY ISSUED FAD MORE THAN 60 DAYS BEYOND RECEIPT OF FAD REQUEST
2. COMPLAINANT DID NOT ELECT HEARING OR FAD	(2a+2b)
a. AGENCY ISSUED FAD WITHIN 60 DAYS OF END OF 30-DAY ELECTION PERIOD
b. AGENCY ISSUED FAD MORE THAN 60 DAYS BEYOND END OF 30-DAY ELECTION PERIOD
3. HEARING REQUESTED; AJ RETURNED CASE TO AGENCY FOR FAD WITHOUT AJ DECISION	(3a+3b)
a. AGENCY ISSUED FAD WITHIN 60 DAYS OF RECEIPT OF AJ RETURNED CASE FOR FAD ISSUANCE
b. AGENCY ISSUED FAD MORE THAN 60 DAYS AFTER RECEIPT OF AJ RETURNED CASE FOR FAD ISSUANCE

PART VII - SUMMARY OF COMPLAINTS CLOSED WITH BENEFITS DURING FORMAL COMPLAINT STAGE
		AMOUNT
A. TOTAL COMPLAINTS CLOSED WITH BENEFITS
B. CLOSURES WITH MONETARY BENEFITS TO COMPLAINANT		$
1. BACK PAY/FRONT PAY		$
2. LUMP SUM PAYMENT		$
3. COMPENSATORY DAMAGES		$
C. CLOSURES WITH ATTORNEY FEES AND COSTS		$
D. SUBTOTAL OF ALL MONETARY BENEFITS (B+C)		$
E. CLOSURES WITH NON-MONETARY BENEFITS
F. TYPES OF BENEFITS	NUMBER OF CLOSURES WITH MONETARY BENEFITS	NUMBER OF CLOSURES WITH NON-MONETARY BENEFITS
1. HIRES
a. RETROACTIVE
b. NON-RETROACTIVE
2. PROMOTIONS
a. RETROACTIVE
b. NON-RETROACTIVE
3. EXPUNGEMENTS
4. REASSIGNMENTS
5. REMOVALS RESCINDED
a. REINSTATEMENT
b. VOLUNTARY RESIGNATION
6. ACCOMMODATIONS
7. TRAINING
8. APOLOGY
9. DISCIPLINARY ACTIONS
a. RESCINDED
b. MODIFIED
10. PERFORMANCE EVALUATION MODIFIED
11. LEAVE RESTORED
12. LUMP SUM PAYMENT
13.
14.

ANNUAL FEDERAL EQUAL EMPLOYMENT OPPORTUNITY
STATISTICAL REPORT OF DISCRIMINATION COMPLAINTS
(REPORTING PERIOD BEGINS OCTOBER 1ST AND ENDS SEPTEMBER 30TH)

AGENCY OR DEPARTMENT:

REPORTING PERIOD: FY

PART VIII - SUMMARY OF PENDING COMPLAINTS BY CATEGORY
	NUMBER PENDING	NUMBER OF DAYS	AVERAGE DAYS	NUMBER OF DAYS PENDING FOR OLDEST CASE
A. TOTAL COMPLAINTS PENDING (SAME AS PART II Line I) (1+2+3+4)
1. COMPLAINTS PENDING WRITTEN NOTIFICATION
2. COMPLAINTS PENDING IN INVESTIGATION
3. COMPLAINTS PENDING IN HEARINGS
4. COMPLAINTS PENDING A FINAL AGENCY DECISION

PART IX - SUMMARY OF INVESTIGATIONS COMPLETED
		TOTAL	TOTAL DAYS	AVERAGE
A. INVESTIGATIONS COMPLETED DURING REPORTING PERIOD	(1+3)
1. INVESTIGATIONS COMPLETED BY AGENCY PERSONNEL	(a+b+c)
a. INVESTIGATIONS COMPLETED IN 180 DAYS OR LESS
b. INVESTIGATIONS COMPLETED IN 181 - 360 DAYS
1. TIMELY COMPLETED INVESTIGATIONS
2. UNTIMELY COMPLETED INVESTIGATIONS
c . INVESTIGATIONS COMPLETED IN 361 OR MORE DAYS
2. AGENCY INVESTIGATION COSTS		$
3. INVESTIGATIONS COMPLETED BY CONTRACTORS	(a+b+c)
a. INVESTIGATIONS COMPLETED IN 180 DAYS OR LESS
b. INVESTIGATIONS COMPLETED IN 181 - 360 DAYS
1. TIMELY COMPLETED INVESTIGATIONS
2. UNTIMELY COMPLETED INVESTIGATIONS
c. INVESTIGATIONS COMPLETED IN 361 OR MORE DAYS
4. CONTRACTOR INVESTIGATION COSTS		$

ANNUAL FEDERAL EQUAL EMPLOYMENT OPPORTUNITY
STATISTICAL REPORT OF DISCRIMINATION COMPLAINTS
(REPORTING PERIOD BEGINS OCTOBER 1ST AND ENDS SEPTEMBER 30TH)

AGENCY OR DEPARTMENT:

REPORTING PERIOD: FY

PART X - SUMMARY OF ADR PROGRAM ACTIVITIES INFORMAL PHASE (PRE-COMPLAINT)
		COUNSELINGS	INDIVIDUALS	DAYS	AVERAGE DAYS
A. ADR PENDING FROM PREVIOUS REPORTING PERIOD
B. ADR ACTIONS IN COMPLETED/ENDED COUNSELINGS
1.	ADR OFFERED BY AGENCY
2.	REJECTED BY COUNSELEE
3.	REJECTED BY AGENCY (INCLUDES MANAGEMENT OFFICIALS)
4.	TOTAL ACCEPTED INTO ADR PROGRAM
C. ADR RESOURCES USED IN COMPLETED/ENDED COUNSELINGS
1.	INHOUSE
2.	ANOTHER FEDERAL AGENCY
3.	PRIVATE ORGANIZATIONS, (e.g., CONTRACTORS, BAR ASSOCIATIONS, INDIVIDUAL VOLUNTEERS OR COLLEGE/UNIVERSITY PERSONNEL)
4.	MULTIPLE RESOURCES USED (Please specify in a comment box)
5.	FEDERAL EXECUTIVE BOARD
6.
7.
D. ADR TECHNIQUES USED IN COMPLETED/ENDED COUNSELINGS
1.	MEDIATION
2.	SETTLEMENT CONFERENCES
3.	EARLY NEUTRAL EVALUATIONS
4	FACTFINDING
5.	FACILITATION
6	OMBUDSMAN
7.	PEER REVIEW
8.	MULTIPLE TECHNIQUES USED (Please specify in a comment box)
9.
10.
11.
E. STATUS OF ADR CASES IN COMPLETED/ENDED COUNSELINGS		COUNSELINGS	INDIVIDUALS	DAYS	AVERAGE DAYS
1.	TOTAL CLOSED
	a. SETTLEMENTS WITH BENEFITS (Monetary and Non-monetary)
	b. NO FORMAL COMPLAINT FILED
	c. NO RESOLUTION
	d. NO ADR ATTEMPT
	e. DECISION TO FILE COMPLAINT PENDING AT THE END OF THE REPORTING PERIOD
2.	OPEN INVENTORY - ADR PENDING

ANNUAL FEDERAL EQUAL EMPLOYMENT OPPORTUNITY
STATISTICAL REPORT OF DISCRIMINATION COMPLAINTS
(REPORTING PERIOD BEGINS OCTOBER 1ST AND ENDS SEPTEMBER 30TH)

AGENCY OR DEPARTMENT:

REPORTING PERIOD: FY

PART XI - SUMMARY OF ADR PROGRAM ACTIVITIES FORMAL PHASE
		COMPLAINTS	COMPLAINANTS	DAYS	AVERAGE DAYS
A. ADR PENDING FROM PREVIOUS REPORTING PERIOD
B. ADR ACTIONS IN COMPLAINT CLOSURES
1	ADR OFFERED BY AGENCY
2.	REJECTED BY COMPLAINANT
3.	REJECTED BY AGENCY (INCLUDES MANAGEMENT OFFICIALS)
4.	TOTAL ACCEPTED INTO ADR PROGRAM
C. ADR RESOURCES USED IN COMPLAINT CLOSURES
1	INHOUSE
2.	ANOTHER FEDERAL AGENCY
3.	PRIVATE ORGANIZATIONS, (e.g., CONTRACTORS, BAR ASSOCIATIONS, INDIVIDUAL VOLUNTEERS OR COLLEGE/UNIVERSITY PERSONNEL)
4.	MULTIPLE RESOURCES USED (Please specify in a comment box)
5.	FEDERAL EXECUTIVE BOARD
6.
7.
D. ADR TECHNIQUES USED IN COMPLAINT CLOSURES
1.	MEDIATION
2.	SETTLEMENT CONFERENCES
3.	EARLY NEUTRAL EVALUATIONS
4.	FACTFINDING
5.	FACILITATION
6.	OMBUDSMAN
7.	MINI-TRIALS
8.	PEER REVIEW
9.	MULTIPLE TECHNIQUES USED (Please specify in a comment box)
10.
11.
12.
E. STATUS OF CASES IN COMPLAINT CLOSURES		COMPLAINTS	COMPLAINANTS	DAYS	AVERAGE DAYS
1.	TOTAL CLOSED
	a. SETTLEMENTS WITH BENEFITS (Monetary and Non-monetary)
	b. WITHDRAWAL FROM EEO PROCESS
	c. NO RESOLUTION
	d. NO ADR ATTEMPT
2.	OPEN INVENTORY - ADR PENDING
F. BENEFITS RECEIVED		COMPLAINTS	COMPLAINANTS	AMOUNT
1.	MONETARY (INSERT TOTAL)			$
	a. COMPENSATORY DAMAGES			$
	b. BACKPAY/FRONTPAY			$
	c. LUMP SUM			$
	d. ATTORNEY FEES AND COSTS			$
	e.			$
	f.			$
	g.			$
2.	NON-MONETARY (INSERT TOTAL)
	a. HIRES
	i. RETROACTIVE
	ii. NON-RETROACTIVE
	b. PROMOTIONS
	i. RETROACTIVE
	ii. NON-RETROACTIVE
	c. EXPUNGEMENTS
	d. REASSIGNMENTS
	e. REMOVALS RESCINDED
	i. REINSTATEMENT
	ii. VOLUNTARY RESIGNATION
	f. ACCOMMODATIONS
	g. TRAINING
	h. APOLOGY
	i. DISCIPLINARY ACTIONS
	i. RESCINDED
	ii. MODIFIED
	j. PERFORMANCE EVALUATION MODIFIED
	k. LEAVE RESTORED
	l.
	m.

ANNUAL FEDERAL EQUAL EMPLOYMENT OPPORTUNITY
STATISTICAL REPORT OF DISCRIMINATION COMPLAINTS
(REPORTING PERIOD BEGINS OCTOBER 1ST AND ENDS SEPTEMBER 30TH)

AGENCY OR DEPARTMENT:

REPORTING PERIOD: FY

PART XII - SUMMARY OF ADR PROGRAM ACTIVITIES EEO ADR TRAINING AND RESOURCES
	NUMBER IN TOTAL WORKFORCE	CUMULATIVE TOTAL WORKFORCE TRAINED
A. BASIC ADR ORIENTATION TRAINING
1. MANAGERS
2. EMPLOYEES
B. EMPLOYEES THAT CAN PARTICIPATE IN ADR
C. RESOURCES AVAILABLE FOR ADR
1. IN-HOUSE FULL TIME
2. IN-HOUSE PART TIME
3. IN-HOUSE COLLATERAL DUTY
4. CONTRACT
	AMOUNT
D. ADR FUNDING SPENT	$

CERTIFICATION AND CONTACT INFORMATION
I certify that the EEO complaint data contained on this report, EEOC Form 462, Annual Federal Equal Employment Opportunity Statistical Report of Discrimination Complaints, for the reporting period October 1, through September 30, are accurate and complete.
TYPED NAME AND TITLE OF CERTIFYING OFFICIAL:
SIGNATURE OF CERTIFYING OFFICIAL:
TYPED NAME AND TITLE OF PREPARER:
SIGNATURE OF PREPARER:
DATE:	TELEPHONE NUMBER:	E-MAIL:
This report is due to the following address on or before October 31st: U.S. Equal Employment Opportunity Commission Office of Federal Operations Federal Sector Programs 1801 L Street, NW Washington, DC 20507

EEOC FORM 462 (REVISED MAY 2007)