Information Collection

Online ABA Complaint Form

IC 207838 under ICR 202105-3014-002 · OMB 3014-0012.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3014-0012 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Online ABA Complaint Form	Form and Instruction
Online Accessible Complaint Form (508 Version) Online ABA Complaint Form_May 2021_508 Version.pdf cts.access-board.gov/formsiq/form.do?form_name=Complaint%20Form	Form and Instruction
Online Accessible Complaint Form (508 Version) Online ABA Complaint Form_May 2021_508 Version.pdf cts.access-board.gov/formsiq/form.do?form_name=Complaint%20Form	Form and Instruction

IC Title:

Online ABA Complaint Form

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

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	N/A	Online Accessible Complaint Form (508 Version)	Online ABA Complaint Form_May 2021_508 Version.pdf	https://cts.access-board.gov/formsiq/form.do?form_name=Complaint%20Form	Yes	Yes	Fillable Fileable

Line of Business: General Government

Subfunction: Executive Functions

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 185

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 95 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	185	185
Annual IC Time Burden (Hours)	93	93
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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.