VA Form 08-10192, Information for Pre-Complaint Processing

VA Form 4939, Complaint of Employment Discrimination; VA Form 08-10192, Information for Pre-Complaint Processing

Documents and Forms

Document Name Document Type
Form VA Form 08-10192 VA Form 08-10192, Information for Pre-Complaint Processing Form and Instruction
VA Form 08-10192 Information for Pre-Complaint Processing VA10192 2900-0716.pdf www.va.gov/vaforms/ Form and Instruction

Information Collection (IC) Details

IC Title:	VA Form 08-10192, Information for Pre-Complaint Processing	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Unchanged

Obligation to Respond: Voluntary

CFR Citation: 29 CFR 1614.106

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	VA Form 08-10192	Information for Pre-Complaint Processing	VA10192 2900-0716.pdf	http://www.va.gov/vaforms/	Yes	No	Fillable Printable

Line of Business: General Government

Subfunction: Legislative Functions

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 707	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Previously Approved
Annual Number of Responses for this IC	707	707
Annual IC Time Burden (Hours)	354	354
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.