Information Collection

Form 14: Electronic Submission Of Allegations And Disclosures

IC 237192 under ICR 202002-3255-001 · OMB 3255-0005.

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form OSC Form-14 FORM 14: ELECTRONIC SUBMISSION OF ALLEGATIONS AND DISCLOSURES	Form and Instruction
OSC Form-14 FORM 14: ELECTRONIC SUBMISSION OF ALLEGATIONS AND DISCLO USOSC Form 14 Full Form.pdf www.osc.gov	Form and Instruction
2020-01768.pdf 30 Day Federal Notice	IC Document

IC Title:

FORM 14: ELECTRONIC SUBMISSION OF ALLEGATIONS AND DISCLOSURES

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation: 5 CFR 1800

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	OSC Form-14	FORM 14: ELECTRONIC SUBMISSION OF ALLEGATIONS AND DISCLOSURES	USOSC Form 14 Full Form.pdf	www.osc.gov	Yes	Yes	Fillable Fileable

Line of Business: General Government

Subfunction: Executive Functions

Privacy Act System of Records

Title: OSC/GOVT-1, OSC Complaint

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 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	6,000	6,000
Annual IC Time Burden (Hours)	6,918	6,918
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
30 Day Federal Notice	2020-01768.pdf	02/03/2020

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