Information Collection

No Material Changes

IC 275476 under ICR 202505-3124-002 · OMB 3124-0017.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
No Material Changes	Form and Instruction
Online Registration Changes No Material Changes	Form and Instruction
Technical Support Changes No Material Changes	Form and Instruction
Initial Appeal Form Changes No Material Changes	Form and Instruction
Security Policy - Warning (May 2025).pdf	Instruction
Security Policy - Warning (May 2025).pdf	Instruction
Online Registration Changes 3124-0017 Online Registration Changes (March 2025).pdf	Form and Instruction
Online Registration Changes 3124-0017 Online Registration Changes (March 2025).pdf	Form and Instruction
Technical Support Changes 3124-0017 Technical Support (March 2025).pdf	Form and Instruction
Technical Support Changes 3124-0017 Technical Support (March 2025).pdf	Form and Instruction
Initial Appeal Form Changes FORM185 (May 2025).pdf	Form and Instruction
Initial Appeal Form Changes FORM185 (May 2025).pdf	Form and Instruction

IC Title:

No Material Changes

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	N/A	Yes	Yes	Fillable Fileable
Form and Instruction	N/A	Yes	Yes	Fillable Fileable
Form and Instruction	N/A	Yes	Yes	Fillable Fileable
Instruction		Yes	Yes	Fillable Fileable

Line of Business: Litigation and Judicial Activities

Subfunction: Judicial Hearing

Privacy Act System of Records

Title: Appeals and Case Records

FR Citation: 77 FR 65206

Number of Respondents: 5,000

Number of Respondents for Small Entity: 0

Affected Public: Federal Government

Percentage of Respondents Reporting Electronically: 75 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	5,000	5,000
Annual IC Time Burden (Hours)	0	0
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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