Information Collection

Reporting Portal for Civil Rights Violations

IC 240371 under ICR 202305-1190-002 · OMB 1190-0020.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1190-0020 can be found here:

Documents and Forms

Document Name Document Type
Form 1190-NEW Reporting Portal for Civil Rights Violations Form and Instruction
1190-NEW Reporting Portal for Civil Rights Violations Civil Rights Reporting Portal Form.pdf Form and Instruction
1190-NEW Reporting Portal for Civil Rights Violations Civil Rights Reporting Portal Form.pdf Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Reporting Portal for Civil Rights Violations	Agency IC Tracking Number:	1190-NEW

Is this a Common Form? No		IC Status: Unchanged

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 and Instruction	1190-NEW	Reporting Portal for Civil Rights Violations	Civil Rights Reporting Portal Form.pdf		Yes	Yes	Fillable Fileable

Line of Business: General Government

Subfunction: Central Personnel

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 100,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	100,000	100,000
Annual IC Time Burden (Hours)	30,000	30,000
Annual IC Cost Burden (Dollars)	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.