(a) Complaint of Possible Prohibited Personnel Practice or Other Prohibited Activity, (b) Disclosure of Information

ICR 200907-3255-001

OMB: 3255-0002

Federal Form Document

Forms and Documents
Document
Name
Status
Form
Unchanged
Supporting Statement B
2009-07-30
Supporting Statement A
2009-07-30
Justification for No Material/Nonsubstantive Change
2009-03-09
ICR Details
3255-0002 200907-3255-001
Historical Active 200902-3255-002
OSC
(a) Complaint of Possible Prohibited Personnel Practice or Other Prohibited Activity, (b) Disclosure of Information
Revision of a currently approved collection   No
Regular
Approved without change 09/03/2009
Retrieve Notice of Action (NOA) 07/30/2009
  Inventory as of this Action Requested Previously Approved
09/30/2012 36 Months From Approved 08/31/2011
2,246 0 2,246
2,689 0 2,689
0 0 0

Forms are needed to obtain information about allegations of prohibited employment practices, and about whistleblower disclosures of information, from current/former Federal employees and applicants for employment. Information is used to investigate and seek appropriate remedies for prohibited employment practices, and to review, and refer, as appropriate, disclosures of wrongdoing for investigation by the head of the agency involved.

US Code: 5 USC CFR1800 Name of Law: Code of Federal Regulations
  
None

Not associated with rulemaking

  5 FR 1800 04/04/2008
5 FR 1800 06/02/2008
No

  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 2,246 2,246 0 0 0 0
Annual Time Burden (Hours) 2,689 2,689 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$0
No
Yes
Uncollected
Uncollected
No
Uncollected
Edward Snyder 202-254-3648 [email protected]

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
07/30/2009


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