Information Collection Request

E-Complaint Form

ICR 201409-1880-002 · OMB 1880-0544 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
E-Complaint Form Form and Instruction New Available
E-_Complaint_form_Supporting_Statement_Final_3.docx Supporting Statement A Uploaded 2014-10-08 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
213261 E-Complaint Form Form and Instruction New

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
12/31/2017 36 Months From Approved
500 0 0
500 0 0
0 0 0





Reginfo record details
1
table that charts list of burden
IC Title Form No. Form Name
E-Complaint Form NA E-Complaint Form

table that charts list of burden
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 500 0 0 500 0 0
Annual Time Burden (Hours) 500 0 0 500 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No