Office of Special Counsel for Immigration-Related Unfair Employment Practices Charge Form

Office of Special Counsel for Immigration-Related Unfair Employement Practices Charge Form

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1190-0018 can be found here:

Documents and Forms

Document Name Document Type
Form OMB Number 1190-NE Office of Special Counsel for Immigration-Related Unfair Employment Practices Charge Form Form and Instruction
OMB Number 1190-NE OSC Charge Form 1190-NEW_Charge Form_Final Draft 020713.doc Form and Instruction

Information Collection (IC) Details

IC Title:	Office of Special Counsel for Immigration-Related Unfair Employment Practices Charge Form	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

CFR Citation: 28 CFR 44

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	OMB Number 1190-NEW	OSC Charge Form	1190-NEW_Charge Form_Final Draft 020713.doc		Yes	No	Fillable Printable

Line of Business: Litigation and Judicial Activities

Subfunction: Legal Investigation

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 300	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	300	300
Annual IC Time Burden (Hours)	150	150
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.