E-Appeal/US Merit Systems Protection Board Appeal Form

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3124-0009 can be found here:

Documents and Forms

Document Name Document Type
Form 185 E-Appeal/US Merit Systems Protection Board Appeal Form Form
185 MSPB E-Appeal Form E Appeal old Form 185.pdf www.mspb.gov/appeals/forms.htm Form
OMB letter to OIRA2.docx.pdf MSPB letter to OIRA IC Document
FR Draft Emergency Reinstatement Notice old E-Appeal.doc FR Draft Notice IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	E-Appeal/US Merit Systems Protection Board Appeal Form	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation: 5 CFR 1320.13

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	185	MSPB E-Appeal Form	E Appeal old Form 185.pdf	http://www.mspb.gov/appeals/forms.htm	Yes	Yes	Fillable Fileable

Line of Business: Workforce Management

Subfunction: Labor Rights Management

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 7,150	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 15 %

	Approved	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	7,150	7,150
Annual IC Time Burden (Hours)	7,150	7,150
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
MSPB letter to OIRA	OMB letter to OIRA2.docx.pdf	11/19/2012
FR Draft Notice	FR Draft Emergency Reinstatement Notice old E-Appeal.doc	11/19/2012

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