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Unfair Immigration-Related Employment Practices Complaint Form

IC 217474 under ICR 202506-1125-003 · OMB 1125-0016.

Documents and Forms
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Form
Instruction
Instruction
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Information Collection (IC) Details

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Unfair Immigration-Related Employment Practices Complaint Form EOIR-58
 
No Modified
 
Voluntary
 
28 CFR 68

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form EOIR-58 Unfair Immigration-Related Employment Practices Complaint Form EOIR-58_rev-2025_draft-v4.docx Yes Yes Fillable Fileable Signable
Instruction EOIR-58-Instructions_rev-2025_draft.docx Yes Yes Printable Only

Litigation and Judicial Activities Legal Prosecution and Litigation

EOIR-002, OCAHO Cases Management System  84 FR 42016

38 0
   
Individuals or Households
 
   0 %

  Approved 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 38 0 12 0 0 26
Annual IC Time Burden (Hours) 38 0 12 0 0 26
Annual IC Cost Burden (Dollars) 954 0 694 0 0 260

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