Information Collection

E-Appeal/US Merit Systems Protection Board Appeal Form

IC 32657 under ICR 201210-3124-002 · OMB 3124-0009.

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Documents and forms in this information collection
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

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:

table that charts list of 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 %

table that charts list of burden
	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

table that charts IC Documents
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.