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

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

Information Collection (IC) Details

View Information Collection (IC)

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

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	OMB Number 1190-0018	OSC Charge Form	1190-0018 OSC Charge Form_061516.pdf	www.justice.gov/crt/about/osc	Yes	Yes	Fillable Fileable Signable
Form and Instruction	OMB 1190-0018	OSC Charge Form	POL_CHG_2019-08-29 1190-0018.docx	www.justice.gov/crt/about/osc	Yes	Yes	Fillable Fileable Signable
Form and Instruction	IER-1	IER Charge Form	CHG.FORM.ENG.DFT10_28_22.docx	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 %

	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

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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