OSC-11, Prohibited Personnel Practice; OSC-12 Whistleblower Disclosure; OSC-13 Hatch Act.

OSC Forms 11, 12 and 13

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3255-0002 can be found here:

Documents and Forms

Document Name Document Type
Form OSC-11 OSC-11, Prohibited Personnel Practice; OSC-12 Whistleblower Disclosure; OSC-13 Hatch Act. Form
OSC-11 Prohibited Personnel Practice osc11.for.OIRA.pdf www.osc.gov/oscefile/ Form
Form OSC-12 Whistleblower Disclosure osc12.copy.for.OIRA.pdf www.osc.gov/oscefile/ Form
OSC-13 Hatch Act osc13.revised.for.OIRA.2.pdf www.osc.gov/RR_OSCFORMS.htm Form

Information Collection (IC) Details

IC Title:	OSC-11, Prohibited Personnel Practice; OSC-12 Whistleblower Disclosure; OSC-13 Hatch Act.	Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation: 5 CFR 1800

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	OSC-11	Prohibited Personnel Practice	osc11.for.OIRA.pdf	https://www.osc.gov/oscefile/	Yes	Yes	Fillable Fileable
Form	Form OSC-12	Whistleblower Disclosure	osc12.copy.for.OIRA.pdf	https://www.osc.gov/oscefile/	Yes	Yes	Fillable Fileable
Form	OSC-13	Hatch Act	osc13.revised.for.OIRA.2.pdf	http://www.osc.gov/RR_OSCFORMS.htm	Yes	No	Fillable Printable

Line of Business: Litigation and Judicial Activities

Subfunction: Legal Investigation

Privacy Act System of Records
Title: OSC Complaint, Litigation and Political Activity Files	FR Citation: 66 FR 36611

Number of Respondents: 4,023	Number of Respondents for Small Entity: 4,023

Affected Public: Federal Government

Percentage of Respondents Reporting Electronically: 25 %

	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	4,023	4,023
Annual IC Time Burden (Hours)	0	0
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.