Form 14: Electronic Submission of Allegations and Disclosures

FORM 14: ELECTRONIC SUBMISSION OF ALLEGATIONS AND DISCLOSURES

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3255-0005 can be found here:

Documents and Forms

Document Name Document Type
USOSC Form 14 Full Form 071219.pdf Form 14 Electronic Submission of Allegations and Disclosures IC Document

Information Collection (IC) Details

IC Title:	Form 14: Electronic Submission of Allegations and Disclosures	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

CFR Citation: 5 CFR 1800

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability

Line of Business: General Government

Subfunction: Executive Functions

Privacy Act System of Records
Title: OSC/GOVT-1, OSC Complaint, Litigation, Political Activity, and Disclosure Files	FR Citation: 82 FR 45076

Number of Respondents: 6,000	Number of Respondents for Small Entity: 0

Affected Public: Federal Government

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	6,000	6,000
Annual IC Time Burden (Hours)	6,917	6,917
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Form 14 Electronic Submission of Allegations and Disclosures	USOSC Form 14 Full Form 071219.pdf	07/12/2019

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.