Information Collection

Online ABA Complaint Form

IC 207838 under ICR 202608-3014-001 · OMB 3014-0012.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 3014-0012 Online ABA Complaint Form Online ABA Complaint Form	Form and Instruction
3014-0012 Online ABA Complaint Form ABA Complaint Form 2026.pdf www.access-board.gov/enforcement/file-complaint.html#/	Form and Instruction

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	3014-0012			https://www.access-board.gov/enforcement/file-complaint.html#/	Yes	Yes	Fillable Fileable

Line of Business: General Government

Subfunction: Executive Functions

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 400

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 95 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	400	200	200
Annual IC Time Burden (Hours)	100	0	100
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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