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Initial Appeal
E-Appeal/U.S. Merit Systems Protection Board Appeal Form
OMB: 3124-0017
IC ID: 261485
OMB.report
MSPB
OMB 3124-0017
ICR 202505-3124-002
IC 261485
( )
Documents and Forms
Document Name
Document Type
Form 185
Initial Appeal
Form and Instruction
e-Appeal Technical Support Request Form Privacy Act and Paperwork Reduction Act Statements (8-3-23).pdf
Instruction
185 Form 185
FORM185-Final-508 (4-19-23).pdf
Form and Instruction
e-Appeal Online La e-Appeal Online Law Firm Preregistration
e-Appeal Online Law Firm Preregistration (8-2-23).pdf
Form and Instruction
e-Appeal Online Re e-Appeal Online Registration
e-Appeal Online Registration Screenshots (8-2-23).pdf
Form and Instruction
e-Appeal Online Su e-Appeal Online Submission
e-Appeal Online Submission Screenshots (8-2-23).pdf
Form and Instruction
e-Appeal Technical e-Appeal Technical Support Request Form
e-Appeal Technical Support Request Form (8-3-23).pdf
Form and Instruction
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Initial Appeal
Agency IC Tracking Number:
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
185
Form 185
FORM185-Final-508 (4-19-23).pdf
Yes
Yes
Fillable Printable
Form and Instruction
e-Appeal Online Law Firm Preregistration
e-Appeal Online Law Firm Preregistration
e-Appeal Online Law Firm Preregistration (8-2-23).pdf
Yes
Yes
Fillable Fileable
Form and Instruction
e-Appeal Online Registration
e-Appeal Online Registration
e-Appeal Online Registration Screenshots (8-2-23).pdf
Yes
Yes
Fillable Fileable
Form and Instruction
e-Appeal Online Submission
e-Appeal Online Submission
e-Appeal Online Submission Screenshots (8-2-23).pdf
Yes
Yes
Fillable Fileable
Form and Instruction
e-Appeal Technical Support Request Form
e-Appeal Technical Support Request Form
e-Appeal Technical Support Request Form (8-3-23).pdf
Yes
Yes
Fillable Fileable
Instruction
e-Appeal Technical Support Request Form Privacy Act and Paperwork Reduction Act Statements (8-3-23).pdf
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Litigation and Judicial Activities
Subfunction:
Judicial Hearing
Privacy Act System of Records
Title:
MSPB/GOVT – 1, Appeals and Case Records
FR Citation:
77 FR 65206
Number of Respondents:
5,000
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
85 %
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
5,000
0
0
0
0
5,000
Annual IC Time Burden (Hours)
7,500
0
0
0
0
7,500
Annual IC Cost Burden (Dollars)
0
0
0
0
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.