Information Collection Request
FBI Whistleblower Request for Corrective Action Form
ICR 202406-1105-001 · OMB 1105-0103 · Received in OIRA
Forms and Documents
| Document | Type | Status | Availability |
|---|---|---|---|
 Form 1105-0103 FBI Whistleblower Request for Corrective Action Form |
Form and Instruction | Unchanged | Repair queued |
 RCA Form (with non-substantive changes).pdf |
Supplementary Document | Uploaded 2024-06-04 | Repair queued |
| Justification for a Non-Material-Nonsubstantive Change (OMB 1105-0103).pdf |
Justification for No Material/Nonsubstantive Change | Uploaded 2024-06-04 | Repair queued |
| Fed Register 30 Day Notice August 24 2023.pdf |
Supplementary Document | Uploaded 2023-09-20 | Repair queued |
| 28 CFR Part 27 (up to date as of 6-12-2023).pdf |
Supplementary Document | Uploaded 2023-06-14 | Repair queued |
| 5 U.S.C. 2303.pdf |
Supplementary Document | Uploaded 2023-06-14 | Repair queued |
| Fed Register 60 day notice - May 24-2023 1105-0103.pdf |
Supplementary Document | Uploaded 2023-06-14 | Repair queued |
 2023 PRA Supporting Statement (FBI WB RCA).docx |
Supporting Statement A | Uploaded 2023-09-29 | Repair queued |
IC Document Collections
| IC ID | Collection | Type | Status | Form |
|---|---|---|---|---|
| 227072 |  FBI Whistleblower Request for Corrective Action Form |
Form and Instruction | Unchanged |
ICR Details
| Status | Received in OIRA |
|---|---|
| Agency/Subagency | DOJ/LA |
| OMB Control No | 1105-0103 |
| Type of Information Collection | No material or nonsubstantive change to a currently approved collection |
| Previous ICR Reference No | 202306-1105-001 |
| Agency Tracking No | 1105-0103 |
| Date Submitted to OIRA | 1969-12-31 |
| Requested Expiration Date | 1969-12-31 |