OMB control number
VA Form 4939, Complaint of Employment Discrimination; VA Form 08-10192, Information for Pre-Complaint Processing
OMB 2900-0716 ยท VA.
OMB 2900-0716
Latest Forms, Documents, and Supporting Material
| Document | Type |
|---|---|
 Form VA Form 08-10192 VA Form 08-10192, Information for Pre-Complaint Processing | Form and Instruction |
| Form 4939 Complaint of Employment Discrimination | Form and Instruction |
 White Paper VA Form 4939 02 2017.doc | Justification for No Material/Nonsubstantive Change |
 OMB Justification 2900-0716_12122016.docx | Supporting Statement A |
 VA Form 08-10192, Information for Pre-Complaint Processing |
Form and Instruction |
| Complaint of Employment Discrimination |
Form and Instruction |
All Historical Document Collections
| Reference | Filing | Received | Concluded | Action |
|---|---|---|---|---|
| 201702-2900-002 | No material or nonsubstantive change to a currently approved collection | 2017-02-08 | Approved without change | |
| 201603-2900-017 | Revision of a currently approved collection | 2016-07-18 | Approved with change | |
| 201412-2900-008 | Revision of a currently approved collection | 2015-01-27 | Approved without change | |
| 201106-2900-006 | Extension without change of a currently approved collection | 2011-10-12 | Approved without change | |
| 200808-2900-008 | Existing collection in use without an OMB Control Number | 2008-09-03 | Approved without change |