General Complaint form USDA/DOJ complaint web portal

OMB: 0581-0333

IC ID: 251368

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Document Name
Document Type
Form and Instruction
Form and Instruction
Information Collection (IC) Details

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General Complaint form
No Modified

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction PSD-5001 complaint form AMS USDA DOJ Form Page.pdf Yes Yes Fillable Fileable

Community and Social Services Community and Regional Development


110 0
State, Local, and Tribal Governments
   100 %

  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 110 0 55 0 55 0
Annual IC Time Burden (Hours) 165 0 82 0 83 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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

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