FORM 14: ELECTRONIC SUBMISSION OF ALLEGATIONS AND DISCLOSURES

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form 14 PPRA Supporting Statement (Final).pdf	Supporting Statement A	Uploaded 2016-09-12	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
223488	FORM 14: ELECTRONIC SUBMISSION OF ALLEGATIONS AND DISCLOSURES		New

ICR Details

OMB Control No: 3255-0006	ICR Reference No: 201609-3255-002
Status: Historical Inactive	Previous ICR Reference No:
Agency/Subagency: OSC	Agency Tracking No: OSC FORM-14
Title: FORM 14: ELECTRONIC SUBMISSION OF ALLEGATIONS AND DISCLOSURES
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Comment filed on proposed rule	Conclusion Date: 11/21/2016
	Date Received in OIRA: 09/12/2016
Terms of Clearance: OMB is deferring approval of this ICR that is associated with a proposed rule. If the agency chooses to finalize it as part of a final rule, the agency is asked to provide OMB with a summary of public comments regarding the ICR and is reminded to follow all other procedures in 5 CFR 1320.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date		36 Months From Approved
Responses	0	0	0
Time Burden (Hours)	0	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: THIS FORM WILL REPLACE FORMS OSC-11, OSC-12, AND OSC-13, WHICH WERE PREVIOUSLY APPROVED BY OMB. THE NEW ELECTRONIC FORM WILL BE USED BY CURRENT AND FORMER FEDERAL EMPLOYEES AND APPLICANTS FOR FEDERAL EMPLOYMENT, AND OTHER COVERED FILERS, TO SUBMIT ALLEGATIONS OF POSSIBLE PROHIBITED PERSONNEL PRACTICES OR OTHER PROHIBITED ACTIVITIES FOR INVESTIGATION AND POSSIBLE PROSECUTION BY OSC, OR REVIEW AND POSSIBLE REFERRAL TO RELEVANT INSPECTOR GENERAL OFFICES.

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Authorizing Statute(s): US Code: 5 USC CFR 1800 Name of Law: CODE OF REGULATIONS
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
3255-AA00	Proposed rulemaking	81 FR 60649	09/02/2016

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	81 FR 60649	09/02/2016
30-day Notice:	Federal Register Citation:	Citation Date:
	81 FR 60649	09/02/2016
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

table that charts list of burden

IC Title	Form No.	Form Name
FORM 14: ELECTRONIC SUBMISSION OF ALLEGATIONS AND DISCLOSURES

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Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: THE ELECTRONIC FORM WILL BE USED BY CURRENT AND FORMER FEDERAL EMPLOYEES AND APPLICANTS FOR FEDERAL EMPLOYMENT TO SUBMIT ALLEGATIONS OF POSSIBLE PROHIBITED PERSONNEL PRACTICES OR OTHER PROHIBITED ACTIVITY FOR INVESTIGATION AND POSSIBLE PROSECUTION BY OSC, OR REVIEW AND POSSIBLE REFERRAL TO RELEVANT INSPECTOR GENERAL OFFICES.

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Annual Cost to Federal Government: $0

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 09/12/2016

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