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

OMB 1190-0018

Under 8 U.S.C. § 1324b of the Immigration and Nationality Act, the United States Department of Justice, Civil Rights Division, Office of Special Counsel for Immigration-Related Unfair Employment Practices (OSC) requires information on citizenship status, immigration status, national origin, and the nature, timing, and specifics of the alleged discriminatory acts from charging parties alleging discrimination in order to determine jurisdiction over the allegation of employment discrimination and to initiate an investigation based on the allegation.

The latest form for Office of Special Counsel for Immigration-Related Unfair Employment Practices Charge Form expires 2022-12-31 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
Form OMB Number 1190-00 Office of Special Counsel for Immigration-Related Unfair Employment Practices Charge Form Form and Instruction
Memo 1190-0018.docx Justification for No Material/Nonsubstantive Change
1190-0018 Published 30 Day Notice.pdf Supplementary Document
1190-0018 supporting statement.2022-10-31.docx Supporting Statement A
Memo - Charge Form Corrected First Page.pdf Justification for No Material/Nonsubstantive Change
1190-0018 Charge Form Corrected First Page.pdf Supplementary Document
Memo ROCIS.pdf Justification for No Material/Nonsubstantive Change
Charge Form_Name Change Update.pdf Supplementary Document
1190-0018_OMB 83i Form OSC_061516.pdf Supplementary Document
1190-0018_Consultations Outside the Agency_061616.doc Supplementary Document
1190-0018 Justification re no expiration date_061516.doc Supplementary Document
28 CFR PART 44_021313.pdf Supplementary Document
8 USC 1324b_021313.pdf Supplementary Document
1190-0018_83i Form_100914.pdf Supplementary Document
Office of Special Counsel for Immigration-Related Unfair Employment Practices Charge Form Form and Instruction

All Historical Document Collections

202211-1190-001 Approved without change	Revision of a currently approved collection	2022-12-30
201909-1190-002 Approved without change	Extension without change of a currently approved collection	2019-09-19
201702-1190-001 Approved without change	No material or nonsubstantive change to a currently approved collection	2017-02-08
201701-1190-004 Approved without change	No material or nonsubstantive change to a currently approved collection	2017-01-31
201701-1190-003 Improperly submitted and continue	Revision of a currently approved collection	2017-01-18
201603-1190-001 Approved without change	Reinstatement with change of a previously approved collection	2016-07-05
201410-1190-001 Approved without change	Revision of a currently approved collection	2014-10-22
201302-1190-001 Approved without change	New collection (Request for a new OMB Control Number)	2013-02-13