Get Executive Order 13160 Complaint Report Form - Pbadupws Nrc

This guide provides a comprehensive overview of how to effectively complete the Executive Order 13160 Complaint Report Form online. It offers user-friendly instructions designed for people with varying levels of experience in document management.

Follow the steps to successfully complete the form.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin by entering your agency name in the designated field. In this case, it is the U.S. Nuclear Regulatory Commission.
3. Provide the agency contact name, which is Marva Gary, along with the phone number 301-415-7382.
4. Input the reporting period in the appropriate section, noting it as FY04 (10/1/03 - 9/30/04).
5. Indicate the total number of complaints filed, which is noted as 0 if applicable.
6. For each complaint, fill out the chart detailing the date the complaint was filed and include the name and a brief description of the federally conducted education or training program.
7. Specify whether the complainant is an agency employee or a non-agency employee and provide details accordingly.
8. Document the number of persons enrolled in the program and the duration of the program in the designated spaces.
9. Choose the basis of alleged discrimination. Available options include race, sex, color, national origin, disability, religion, age, sexual orientation, and status as a parent. Mark all that apply.
10. If the nature of the complaint is known, summarize it in the corresponding field.
11. Indicate whether the complaint was dismissed due to a determination that alleged discrimination did not occur. If yes, provide the date of dismissal and whether it was appealed.
12. Note any disciplinary action taken as a result of the complaint.
13. Once all sections are completed, ensure accuracy, and then save changes, download, print, or share the form as necessary.

Complete your Executive Order 13160 Complaint Report Form online today to ensure your submission is processed efficiently.