Corporate Whistleblower Award Pilot Program Intake Portal

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form 1103-0NEW Supplemental (Follow Up)	Form and Instruction	New	Missing upstream
Form 1103-0NEW Supplemental (Follow Up)	Form and Instruction	New	Available
Form 1103-0New General Inquiry	Form and Instruction	New	Missing upstream
Form 1103-0New General Inquiry	Form and Instruction	New	Available
Form OMB #1123-0NEW New Submission	Form and Instruction	New	Repair queued
Form OMB #1123-0NEW New Submission	Form and Instruction	New	Available
eb8033dac7404ec890cb5c8b457f02e5.pdf	Public Comments	Uploaded 2026-06-15	Repair queued
Fw EXTERNAL 91 FR 10633 Board.msg	Public Comments	Uploaded 2026-06-15	Repair queued
Fw EXTERNAL 91 FR 10633 Board.msg	Public Comments	Uploaded 2026-06-15	Repair queued
wh13-2-3_compressed_watermark (1) (1).pdf	Public Comments	Uploaded 2026-06-15	Repair queued
THEFT OF 1 MIL IN FED FUNDS VIA NMC_GALVIN GUERRERO-compressed-compressed (1).pdf	Public Comments	Uploaded 2026-06-15	Repair queued
prac_sba_ DIEFFENBACH.pdf	Public Comments	Uploaded 2026-06-15	Repair queued
Letter to Federal Agencies Regarding Systemic Issues in the CNMI_INTRODUCE YOURSELF.pdf	Public Comments	Uploaded 2026-06-15	Repair queued
FROM marsha blackburn to cnmiga_org (1) (1).pdf	Public Comments	Uploaded 2026-06-15	Repair queued
exhibit #16 b-numbered-numbered (1).pdf	Public Comments	Uploaded 2026-06-15	Repair queued
exhibit #16 a-numbered-numbered (1).pdf	Public Comments	Uploaded 2026-06-15	Repair queued
Addressed To_NEW OPENER_INTRO_ZAJI_ZAJRADHARA.pdf	Public Comments	Uploaded 2026-06-15	Repair queued
2026-04300_ corporate whistleblower attachment.pdf	Public Comments	Uploaded 2026-06-15	Repair queued
Fw EXTERNAL 91 FR 10633 Board.msg	Public Comments	Uploaded 2026-06-15	Repair queued
2026.07.14 DRAFT CWA PRA Review Statement (DOJ).docx	Supporting Statement A	Uploaded 2026-07-15	Repair queued
2026-06-09 DRAFT CWA PRA Review Statement.docx	Supporting Statement A	Uploaded 2026-06-10	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
280879	Supplemental Form (Follow- Up)	Form and Instruction	New	Supplemental (Follow Up)
280879	Supplemental Form (Follow- Up)	Form and Instruction	New	Supplemental (Follow Up)
280878	General Inquiry Form	Form and Instruction	New	General Inquiry
280878	General Inquiry Form	Form and Instruction	New	General Inquiry
280871	New Submission	Form and Instruction	New	New Submission
280871	New Submission	Form and Instruction	New	New Submission

ICR Details

OMB Control No: 1123-0019	ICR Reference No: 202606-1123-001
Status: Active	Previous ICR Reference No:
Agency/Subagency: DOJ/CD	Agency Tracking No:
Title: Corporate Whistleblower Award Pilot Program Intake Portal
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 07/15/2026
Retrieve Notice of Action (NOA)	Date Received in OIRA: 06/10/2026
Terms of Clearance: In accordance with 5 CFR 1320, this information collection is approved

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	07/31/2029	36 Months From Approved
Responses	3,068	0	0
Time Burden (Hours)	1,202	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: This collection will assist the Criminal Division in achieving mission-critical law enforcement priorities by collecting voluntary information regarding potential criminal activity. The collection will make the Division faster and more efficient when: (1) responding to tips regarding potential criminal activity submitted by members of the public; (2) issuing monetary awards to individuals whose information has assisted in the investigation and prosecution of such activity; and (3) answering general inquiries from the public regarding the Corporate Whistleblower Awards Pilot Program

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Authorizing Statute(s): None

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	91 FR 10633	03/04/2026
30-day Notice:	Federal Register Citation:	Citation Date:
	91 FR 29510	05/20/2026
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 3

table that charts list of burden

IC Title	Form No.	Form Name
General Inquiry Form	1103-0New	General Inquiry
New Submission	OMB #1123-0NEW	New Submission
Supplemental Form (Follow- Up)	1103-0NEW	Supplemental (Follow Up)

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ICR Summary of Burden

table that charts list of burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	3,068	0	0	3,068	0	0
Annual Time Burden (Hours)	1,202	0	0	1,202	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: This is a new ICR.

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Annual Cost to Federal Government: $478,408

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     No

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? No

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 06/10/2026

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