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

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

OMB: 3255-0002

IC ID: 35835

Information Collection (IC) Details

View Information Collection (IC)

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

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form OSC-11 Complaint of Possible Prohibited Personnel Practice OSC Form 11.screen.captures.pdf to be determined once form is in production Yes Yes Fillable Printable
Form OSC-12 Information About Filing a Whistleblower Disclosure with the Office of Special Counsel OSC Form 12.Screen.Captures.pdf To be determined once form goes to production Yes Yes Fillable Printable
Form and Instruction OSC Form 13 Complaint of Possible Prohibited Political Activity (Violation of the Hatch Act) osc13.pdf http://www.osc.gov/forms.htm Yes No Printable Only

Litigation and Judicial Activities Legal Investigation

 

2,246 0
   
State, Local, and Tribal Governments
 
   0 %

  Requested Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 2,246 0 0 0 0 2,246
Annual IC Time Burden (Hours) 2,689 0 0 0 0 2,689
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
OSC Form 11 osc11.pdf 07/10/2008
OSC Form 12 osc12.pdf 07/10/2008
Reason for discontinuation of Instrument, OSC Form 14 OSC can no longer directly accept USERRA complaints.docx 02/20/2009
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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