OMB
.report
Search
DHS Civil Rights and Civil Liberties Complaint and Privacy Waiver Form
DHS Civil Rights and Civil Liberties Complaint and Privacy Waiver Form
OMB:
IC ID: 247887
OMB.report
OS
ICR 202106-1601-001
IC 247887
( )
Documents and Forms
Document Name
Document Type
Form DHS xxx
DHS Civil Rights and Civil Liberties Complaint and Privacy Waiver Form
Form
DHS xxx CIVIL RIGHTS COMPLAINT
DHS Form XXX_Civil Rights Complaint.pdf
Form
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
DHS Civil Rights and Civil Liberties Complaint and Privacy Waiver Form
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
New
Obligation to Respond:
Voluntary
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form
DHS xxx
CIVIL RIGHTS COMPLAINT
DHS Form XXX_Civil Rights Complaint.pdf
Yes
No
Fillable Printable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Workforce Management
Subfunction:
Labor Rights Management
Privacy Act System of Records
Title:
DHS ALL-029 Civil Rights and Civil Liberties Records System of Records
FR Citation:
86 FR 33331
Number of Respondents:
692
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
50 %
Requested
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
692
0
692
0
0
0
Annual IC Time Burden (Hours)
692
0
692
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
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.
