Information Collection

Reporting Portal for Civil Rights Violations

IC 240371 under ICR 202503-1190-001 · OMB 1190-0020.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1190-NEW Reporting Portal for Civil Rights Violations	Form and Instruction
Form 1190-NEW Reporting Portal for Civil Rights Violations 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

IC Title:

Agency IC Tracking Number:

1190-NEW

Is this a Common Form? No

IC Status: Unchanged

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	1190-NEW				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 %

table that charts list of burden
	Approved	Previously Approved
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

table that charts IC Documents
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.

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