ML22087A488

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OMB 3150-XXXX, Screenshots for Equal Employment Opportunity (Eeo) Electronic Complaint System
ML22087A488
Person / Time
Issue date: 05/12/2022
From:
NRC/OCIO, NRC/OGC
To:
Deeds E
References
Download: ML22087A488 (9)
v • d • e


Text

EEO efile [For NRC Em ployees Only]

BY SIGNING ON TO THIS SYSTEM YOU ARE AGREEING TO THE m

SITE'S SECURITY POLICY.

Usemame a Password

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Welcome to the Nuclear Regulatory Commission's (NRC} eFile site. This website allows you to initiate contact with the NRC's Office of Small Business and CM/ Rights, Civil Rights Program, in gaining information about the Equal Employment Opportunity (EEO) complaint process, and/or initiating the filing of an informal complaint by requesting EEO counseling online. You may submit information about your complaint and view the status of any EEO case that you originally created with eFile. Please note that if you are new to eFile, you will need to regis ter firs t, using the button above. Please note that ff you are new to eflle, you will need to Bfgwt.C first, using the button above.

Security Policy I UNDERSTAND AND CONSENT TO THE FOLLOWING:

I am accessing a U.S. Government information system provided by the U.S. Nuclear Regulatory Commission (NRC) for U.S.

Government-authorized use only, except as allowEd by NRG policy. Unaurhorized use o f the information system is prohibited and subject to criminal, civil, security, or c1d1ninisflc1ti'll:t p,uc:eeclinys aml/ur peflafties USC or Tl ffS /N(ORMATION SYSTCM /ND/CATCS CONSCNT TO MONITORING AND RECORDING, INCLUDING PORTABLE ELECTRONIC DEVICES.

The Government routinely monitors communications occurring on this information system. I have no reasonable expectation of privacy regarding any communications or data transiting or srored on this information system. At any time, the government mc1y fur i:lflY la w(ul yuvemmefll purpose munilof, i11tercept, search, or seize any communication or data transiting or stored on this information system.

A11y commu11icatio11s or data mmsiting or stored on this information system may be disclcsed or used in accordance with federal law or regulation.

REPORT A NY UNAUTHORIZED USE TO THE COMPUTER SECURITY INCIDENT RESPONSE TEAM {301-415-6666) AND THE INSPECTOR GENERAL.

Paperwork Reduction Act Statement Approved by 0MB 3150-XXXX Expires MM/0D/YYYY Estimated burden per response to comply with this voluntary collection request: 32 minutes. The information provided will be used to process informal Equal Employment Opportunity complaints filed against the NRC by an employee, former employee, or applicant for employment with the NRC, who believe that they ~ave been subjected to discrimination based on race, color, religion, sex (including pregnancy, gender ideniity, and sexual orientation), national origin, age (40 or older).

disability, or genetic informa1ion. Send comments regarding burden estimate to the information Ser*tices Branch (T6 A1OM).

U s. Nuclear R ulato Commission Washin ton, DC 20555-u.v. ,~u1..1,:;c1 ,,,:;yu,a,v, 7 vu,,.,,,i.co~,uu, na;:,11111y,u11, .,,., LU_,.,.,

0001, or by e-mcil to klfocol!ects Resource@n.[c.g!r! and to the Oesk Officer, Office of Information and Regulatory Affairs.

NEOB-10202, (3150-XXXX), Office of Management and Budget, Washington, DC 20503. Ar, agency may not conduct or sponsor, and a person is not required to respond to. a collection of inrorrm1tion unless il Uisph1ys a currerllly *1alid 0MB contro l number.

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EEO efile Registration Identification Information First Name Last Name Account Information Email Address

[ Email Address Password

[ Password Confirm Password

[ Confirm Password Accessibility Option Enable Accessibility Enhancement s M2rlc.ln.(Q 0 Yes @ No M*SIIEEME Your email address will be your Username. Once you click the

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[External_Send er] EEO efile User Email CONFIRMATION f-) Reply <-E) Repl)* All Fcruard Administrator Email <noreplies@micropactcom>

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UM"l""ntior ~ltey' 7 Year Deletion Policy (7 y ears) l>pin-~ 1/16/2029 Please do not reply to this email, it is automatically generated. Your EEO efile account has been created and you w ill need to confirm your e mail before logging in. Click on, or copy and past e , the folloVJing li nk into \'our bro*>.:ser: https://n rc-c filc .cnte ll it rak.com/cfile-e co-nrc-prod/page.requcst .do?

page =com.micropact.eeo.e file.component .re gistration.confirmation.page&token=0Eh4TdWSANr Best Regards, The EEO Team If you have any que stions, ple ase contact us at e file assistance @nrc.gov

EEO eflle Registration Your em ail has been confirm ed .

-a entellitrak" Contact Us About Us NRC ET< EEO EJ:1.£ PROO J.0.1

  • 1rin.de<<fs@n1c.gov (eFilcr)

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ififMlll&iii QUICK LINKS Draft Submissions lncidc-nt O:,t:e Currc111Submissiori.S

C-+ Sign O ut @ Help NRC ETK EEO ERLE PROO 3.0.1 - erin.deecls@ nrc.gov (e Filer)

HOME TRACKING INBOX Home If you believe that you have been discri minated against at work because of your race , color, religion, sex (inciuding pregnancy, gender identity, and sexual orien ta tion), national origin, age (40 or older), disabilit y, or genetic information, you can submit an on -line request (called an "EEO Contact") for EEO counsel ing or mediation via this efile application The steps in the efile process are as follows :

Step1 : Verify and Complete your persona l information Step2: Select the Office involved in the aHeged discrimination Step3: Add AJleged Responsib le Management Official {RMO ) respons ible for the action that has caused you to file this EEO Contact Step4: Select Counseling and Media tion Options Step5: Provide information on any Grievance or Appea l filing{s) on the same issue (if any)

Step6: Add Your Representative's Information (if any)

Step7: Enter Claim (d etails of alleged discrim ination)

Step8: Upload Supporting Documenta tion (if any)

Step9: Acknow1edge Rights and Respons ibilities Step10 : View EEO Contact Summary and Submit If you have all the necessary informa tion, click on the Con ti n u e to First Step of efi le Submi ssi on button at the bottom of this page Note : To be time ly in your submission, you must submit your EEO Contact w ithin 45 days of the incident o r awareness of the incident (or the effective date of the action in the case of personnel actions)

Continue to First Step of efile SubmIssIon NRC ETK EEO ERLE PROO 3.0.1 - eri n.deecls@ nrc.gov (eFiler)

C-+ Sign O ut @ Help HOME ~

Tracking In box

  • Submission
  • New Filer Information Please verify your information will be sent as part of your efile submission Subm issio n Personal Information Filer Information Salutation Title Da te Of Birth C;'J (mm/dd/yyyy)

First Name Required if claimingageasa1>asis Middle Name l

Gender Last Name Suffix Employment Information Pay Plan Occupation Grade Employee Type Step Series Musi oe tour digits (e.g ..* 000 1)

Contact Information Primary Email Home Phone Ntemate Email Work Phone e,t Please provide an email address where you would pre /er to receive email.

Personal Cell Phone Country United States Work Cell Phone Address Type Address Line 1 Address Line 2 City StaterTenitory ZIP Code

NRC ETK EEO ERLE PROO 3.0.1 - erin.deeds@nrc.gov (eFiler)

C-+ Sig n Out @ He lp HOME ~

Tracking ln box

  • Submission
  • New Office Select the office involved in the alleged discrimination Submissio n Office @-NRG
  • Filer Information Offi<e Tracking lnbox
  • Submission
  • New Office Select the office involved in the alleged discrimination Submission Office 0- NRC Filer Informatio n Commission Staff Offices Qffic, Committees and Boards f EDO Staff Offices ADM NMSS NRR NSIR OCHCO OCIO OE 01 Reg ion I Reg ion II Reg ion Ill
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~ The Commission The EOO The Inspector General HOME ~

Tracking ln box

  • Submission
  • New Alleged RMO The Al leged Responsible Manag ement Official (RMO) is the person you believe to be respons ible for the action that has caused you lo file this EEO Contact Submissio n File r Information RMOMdress "

RMO First Name Office Country United States RMO Last Name Alleged RMO Mdress Line 1 RMO Job Tille Mdress Line 2 RMO Email Crty RMO Work Phone Slate ZIP Code IIIIIIIIIDIOIIMIM*iM*illli

HOME TRACKING INBOX Tracking In box

  • Submission
  • New Counseling & Mediation Options A non y m ity Submission If you chose to rema in anonymous the EEO Counselor will not reveal your identity to other individuals unless you au thorize the EEO Counselor to do so during the Informal Complaint Filer Information process. Should you chose to file a forma l complaint, you must give up you r ability to remain anonymous Office Do you wish lo remain anonymou s for O Yes O No Alleged RMO th is complaint?

HOME ~

Track ing lnbox

  • Submission
  • New Filing Disclosure Gri evanc, and Appea l Filing D isclosure Submission Have you ti led a grievance on the same issue? O Yes O No
  • Filer lnfmmation If yes , enter the dale tiled (m m/dc/yyyy)

Office Have you ti led a Merit System Protechcn Board appeal on this issue? 0 Yes O No

  • Alleged RMO If yes , enter the dale tiled (m m/dc/yyyy )

Counseling &

Med;ation Option, Rling Disclosure HOME TRACKING INBOX Tracking lnbox

  • Submission
  • New Representative You have the right to ootain representation throughout the EEO process. However, a represen tative is not requ ired and you may skip this step (using the button at the bottom)

Submission Filer Information Is your represen tative an Attorney? 0 Yes @ No

  • Representative's Mailing Add ress "

Office First Name Country Unrted States Alleged RMO Last Name Address Line 1 Counseling& Email Address Line 2 Mediation Options Home Phone City Filing Disclosure Work Phone State Representative e,t Personal Cell Phone ZIP Code Work Cell Phone 1111111111111 IGMIM ii i:411:i&Ml!III

HOME ~

Tracking lnbox

  • Submission
  • New Claim You must initiate counseling or contact with an EEO counselor within 45 days of the incident or awareness of the incident. In the case of personnel actions, you must initiate counseling or contact with an EEO counselor withi1 Submission days from the effective dal e of action Filer Information A Claim is an allegation of discrim ination that specifies a Claim Type, Incident Date, and one or more Bases of prohibited discri mination. Bases of prohibited discrimination include Race, Color, Religion, Equal Pay (Male or Female), Sex (Male , Female, LGBT), Age (40 +), National Origin, Physical and/or Mental Disability, Genetic Information, Pregnancy, or Reprisal (Retaliation) for your participation in protected EEO activity_

Office You may enter multiple claims for your submission, but please only select the basis or bases which apply to each individual claim . Please use the Summary of Issue field to describe what occured and why you th ink ii was Alleged RMO discrim inatory_

Counseling &

Mediation Options Claim Type Filing Disclosure Incident Date t;'J (mmldd/yyyy )

  • Representative Basis/Bases for Claim
  • Oaim Note: Only select the Basis/Bases that apply to this daim Age National Origin Co lor 0 Disability Mental Raffi 0 Disability Ph ysica l Genetics 0 Pregnancy Discrimination Act Se, 0 Relig ion 0 Reprisal Equal Pay Act NON EEO 0 Mantal Status 0 Parental Status 0 Politica l Affi liation 0 No Basis Specified Note: ff you need more space than is allowed ;n the flfllds for Summary of Issue and Remedy Requested, please use /he nexl s/ep_
  • Supporting Documentallon 10 upload your information Summary of Issu e *

(2000 characters max)

Remedy Reque sted *

(2000 characters max) iffifikMIMENIIIIIIIIIIIIIIII HOME ~

Trackirg lnbox

  • Submission
  • New Supporting Documentation You may upload a maximum file size of 50.00 MBs Sul:xnission Document#

Filer Information File Oth:e File Update Date 0 1/ 1812022 Alle~ed RMO Coun seling&

Mediation Options I don t have any Supporting Documentation 1111 Filing Disclosure Representa tive Claim Supporting Documentation

HOME TRACKING INBOX Tracking lnbox

  • Submission
  • New Rights & Respons ibilities NOTICE OF AGGR IEVED RIGHTS ANO RESPONSIBILI TIES Subm ission Thts is to notify you that you have the fol lowing rights and responsibilities regarding the processing of your potential complaint. It is File r Information importan t that you understand each of these as the y might affect the way in which your complaint is processed Office Please click the link to access the document Alleged RM0 Co unseling &

Med iation Opt ions Filing Disclosure Representat ive 0 By checking this box , I acknowledge that I have been informed of and have read and understand my rights and responsibilities Cla im Suppo rt ing Doc umentation Rights&

Respon.sibilities HOME TRACKING INBOX Create a PD F Document I Tracking lnbox

  • Submission
  • New Summary Verify the in formation below. Once you submit , you will not be ab ~ to edit ii , so please be sure all Subm ission information is correct File r Information If you need to make changes , use the side-bar buttons on the left to na vigate the information you would like to change O ffice Alleged RM0 FILER INFORMATION Co unseli ng&

Med iation Options Personnel Information Filing Disclosu re Salutation Tille Represe nta t ive First Name Erin C la im Last Name Deoos Suffix Suppo rt ing Pay P1an Documentation Series Rights& Occupation Re sponsibi lit ies Employee Type Su mmary Demographic Information Gender Raoo Da te of Birth 07107/1980 Contact Information Pnmary Email enn.deeds@nrc .gov Alte rnate Email Address Type Won<

Address line 1 11 545 Rockville Pike Address lioo 2 C ity Rockv ille State Maryland ZIP Code 20854 Home Phone Wo rk Phone Personal Cell Phone Wo rk Cell Phone OFFICE SBCR ALLEGED RMO(s)

RMO First Name: Test RMO Last Name: Tes RM O Job Tille:

RM O Ema1I:

RMO Work Phone Address Type: Work Address Line 1*

Address Line 2 City State:

ZIP Code

COUNSELING & MEDIATION OPTIONS Anonymous No GRIEVANCE & APPEAL FILING DISCLOSURE Previous Grievance No Date MSPBAppeal No Date REPRESENTATIVE CLAIM Claim Type: Appoin tment/Hire Incident Date : 01 11712022 Basi s/Bases : Age Summary of Issue : test Remedy Req uested : test SUPPORTING DOCUMENTATION Document# File File Update Date lllt IIMIMiMIM

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