Information Collection Request

Formal Complaints Collection

ICR 202108-2120-003 · OMB 2120-0795 · Received in OIRA

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
2120-XXXX New Collection Formal Complaints_3-9-21_Clean.docx Supporting Statement A Uploaded 2021-09-08 Repair queued
Pt. 13.5 Formal Complaints_Privacy Statement.docx Supplementary Document Uploaded 2020-11-16 Repair queued
Fed Reg 60-day.pdf Supplementary Document Uploaded 2020-10-20 Repair queued

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
244164 Answer Instruction Unchanged
244158 Complaint Instruction Unchanged

ICR Details

Reginfo record details
table that charts list comparision
  Requested Previously Approved
36 Months From Approved
14 0
56 0
2,036 0





Reginfo record details
2
table that charts list of burden
IC Title Form No. Form Name
Answer
Complaint

table that charts list of burden
  Total Request Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 14 0 0 7 7 0
Annual Time Burden (Hours) 56 0 0 28 28 0
Annual Cost Burden (Dollars) 2,036 0 0 2,036 0 0


Reginfo record details
  No