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Regulations Containing Procedures for Handling of Retaliation Complaints
Regulations Containing Procedures for Handling of Retaliation Complaints
OMB: 1218-0236
IC ID: 14293
OMB.report
DOL/OSHA
OMB 1218-0236
ICR 201705-1218-001
IC 14293
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1218-0236 can be found here:
2024-05-08 - No material or nonsubstantive change to a currently approved collection
2024-04-02 - No material or nonsubstantive change to a currently approved collection
Documents and Forms
Document Name
Document Type
Whistleblower-online complaint form - worker protections screenshots.docx
www.whistleblowers.gov/wb_filing_time_limits.html
Other-null
File a Complaint Page (english).jpg
www.whistleblowers.gov/complaint_page.html
Other-Web page
File a Complaint Page (spanish).jpg
www.whistleblowers.gov/complaint_page.html
Other-Web page
whistleblower_acts-desk_reference.pdf
www.whistleblowers.gov/whistleblower_acts-desk_reference.pdf
Other-Web page
OSHA 8-60.1 Notice of Whistleblower Complaint [part 1]
Whistleblower-OnlineComplaintForm-FullScreens-English-10-18-16 Part I (pp 1-11).docx
www.whistleblowers.gov/complaint_page.html
Form and Instruction
OSHA 8-60.1 Notice of Whistleblower Complaint [part II]
Whistleblower-OnlineComplaintForm-FullScreens-English-10-18-16 Part II (pp 12-20).docx
www.whistleblowers.gov/complaint_page.html
Form and Instruction
OSHA 8-60.1 Formulario Electronico de la OSHA Para Presentar Queja C
Whistleblower-OnlineComplaintForm-Spanish-FullScreens-5-12-2017 Part I (pp 1-12).docx
www.whistleblowers.gov/complaint_page.html
Form and Instruction
OSHA 8-60.1 Formulario Electronico de la OSHA Para Presentar Queja C
Whistleblower-OnlineComplaintForm-Spanish-FullScreens-5-12-2017 Part II (pp 13-20).docx
www.whistleblowers.gov/complaint_page.html
Form and Instruction
1218-0236 IC Supplementary Statement 06-08-16 (2).docx
Supplementary Explanation of Revised Form
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Regulations Containing Procedures for Handling of Retaliation Complaints
Agency IC Tracking Number:
1218-0236(2017)
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Voluntary
CFR Citation:
29 CFR 1982
29 CFR 1988
29 CFR 1981
29 CFR 1986
29 CFR 1979
29 CFR 1977
29 CFR 1983
29 CFR 1984
29 CFR 1980
29 CFR 1978
29 CFR 1987
29 CFR 24
29 CFR 1985
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Other-null
Whistleblower-online complaint form - worker protections screenshots.docx
http://www.whistleblowers.gov/wb_filing_time_limits.html
Yes
No
Printable Only
Form and Instruction
OSHA 8-60.1
Notice of Whistleblower Complaint [part 1]
Whistleblower-OnlineComplaintForm-FullScreens-English-10-18-16 Part I (pp 1-11).docx
http://www.whistleblowers.gov/complaint_page.html
Yes
Yes
Fillable Fileable
Form and Instruction
OSHA 8-60.1
Notice of Whistleblower Complaint [part II]
Whistleblower-OnlineComplaintForm-FullScreens-English-10-18-16 Part II (pp 12-20).docx
https://www.whistleblowers.gov/complaint_page.html
Yes
Yes
Fillable Fileable
Form and Instruction
OSHA 8-60.1
Formulario Electronico de la OSHA Para Presentar Queja Como Denunciante (part 1)
Whistleblower-OnlineComplaintForm-Spanish-FullScreens-5-12-2017 Part I (pp 1-12).docx
https://www.whistleblowers.gov/complaint_page.html
Yes
Yes
Fillable Fileable
Form and Instruction
OSHA 8-60.1
Formulario Electronico de la OSHA Para Presentar Queja Como Denunciante (part 2)
Whistleblower-OnlineComplaintForm-Spanish-FullScreens-5-12-2017 Part II (pp 13-20).docx
https://www.whistleblowers.gov/complaint_page.html
Yes
Yes
Fillable Fileable
Other-Web page
File a Complaint Page (english).jpg
http://www.whistleblowers.gov/complaint_page.html
Yes
No
Printable Only
Other-Web page
File a Complaint Page (spanish).jpg
http://www.whistleblowers.gov/complaint_page.html
Yes
No
Printable Only
Other-Web page
whistleblower_acts-desk_reference.pdf
http://www.whistleblowers.gov/whistleblower_acts-desk_reference.pdf
Yes
No
Printable Only
Federal Enterprise Architecture Business Reference Module
Line of Business:
Workforce Management
Subfunction:
Worker Safety
Privacy Act System of Records
Title:
DOL/OSHA 1, Retaliation Complaint File
FR Citation:
67 FR 16816
Number of Respondents:
7,516
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
50 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
7,516
0
0
0
0
7,516
Annual IC Time Burden (Hours)
7,516
0
0
0
0
7,516
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Supplementary Explanation of Revised Form
1218-0236 IC Supplementary Statement 06-08-16 (2).docx
06/08/2016
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.