Information Collection

Office of Special Counsel for Immigration-Related Unfair Employment Practices Charge Form

IC 205699 under ICR 202604-1190-001 · OMB 1190-0018.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form OMB Number 1190-00 OSC Charge Form Office of Special Counsel for Immigration-Related Unfair Employment Practices Charge Form	Form and Instruction
Form OMB 1190-0018 OSC Charge Form Office of Special Counsel for Immigration-Related Unfair Employment Practices Charge Form	Form and Instruction
Form IER-1 IER Charge Form Office of Special Counsel for Immigration-Related Unfair Employment Practices Charge Form	Form and Instruction
OMB Number 1190-00 OSC Charge Form 1190-0018 OSC Charge Form_061516.pdf www.justice.gov/crt/about/osc	Form and Instruction
OMB 1190-0018 OSC Charge Form POL_CHG_2019-08-29 1190-0018.docx www.justice.gov/crt/about/osc	Form and Instruction
IER-1 IER Charge Form CHG.FORM.ENG.DFT10_28_22.docx www.justice.gov/crt	Form and Instruction

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation: 28 CFR 44

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	OMB Number 1190-0018	www.justice.gov/crt/about/osc	Yes	Yes	Fillable Fileable Signable
Form and Instruction	OMB 1190-0018	www.justice.gov/crt/about/osc	Yes	Yes	Fillable Fileable Signable
Form and Instruction	IER-1	www.justice.gov/crt	Yes	Yes	Fillable Fileable

Line of Business: Litigation and Judicial Activities

Subfunction: Legal Investigation

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 918

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	918	598	320
Annual IC Time Burden (Hours)	459	299	160
Annual IC Cost Burden (Dollars)	0	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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