Revised MSPB Form 185

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⚠️ Notice: This information collection may be referencing outdated material.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 Revised MSPB Form 185 Form
185 MSPB Form 185 PRA FINAL MSPBAppealForm 3-29-2013.pdf www.mspb.gov/appeals/revisedappealform.htm Form

Information Collection (IC) Details

IC Title:	Revised MSPB Form 185	Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	185	MSPB Form 185	PRA FINAL MSPBAppealForm 3-29-2013.pdf	http://www.mspb.gov/appeals/revisedappealform.htm	Yes	Yes	Fillable Printable

Line of Business: General Government

Subfunction: Central Records & Statistical Mgt

Privacy Act System of Records
Title:	FR Citation:

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

Affected Public: Federal Government

Percentage of Respondents Reporting Electronically: 70 %

	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	446,606,160,000	446,606,160,000
Annual IC Time Burden (Hours)	7,150	7,150
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.