Information Collection Request
Civil Rights Discrimination Complaint
ICR 202209-2900-012 · OMB 2900-0662 · Received in OIRA
⚠️ Notice: This information collection may be outdated. More recent filings for OMB 2900-0662 can be found here:
Forms and Documents
| Document | Type | Status | Availability |
|---|---|---|---|
 Form 10-0381 Civil Rights Discrimination Complaint |
Form | Modified | Repair queued |
 2022-25996 30 days.pdf |
Supplementary Document | Uploaded 2022-11-29 | Repair queued |
 30-Day Civil Rights Discrimination Complaint.docx |
Supplementary Document | Uploaded 2022-11-23 | Repair queued |
| 2022-20916 Public 60 day Federal notices.pdf |
Supplementary Document | Uploaded 2022-11-23 | Repair queued |
| Supporting Statement A.docx |
Supporting Statement A | Uploaded 2022-11-29 | Repair queued |
IC Document Collections
| IC ID | Collection | Type | Status | Form |
|---|---|---|---|---|
| 28940 |  Civil Rights Discrimination Complaint |
Form | Modified |
ICR Details
| Status | Received in OIRA |
|---|---|
| Agency/Subagency | VA |
| OMB Control No | 2900-0662 |
| Type of Information Collection | Reinstatement with change of a previously approved collection |
| Previous ICR Reference No | 201401-2900-009 |
| Agency Tracking No | 2900-0662 |
| Date Submitted to OIRA | 1969-12-31 |
| Requested Expiration Date | 1969-12-31 |