OMB control number

E-Appeal/US Merit Systems Protection Board Appeal Form

OMB 3124-0009 · MSPB.

OMB 3124-0009

This is a voluntary form completed by persons who file appeals with the U.S. Merit Systems Protection Board. The form serves as a guide to appellants in providing all needed information. It is available both as a static form, which is available upon request, on our website (http://www.mspb.gov/appeals/revisedappealform.htm).

The latest form for E-Appeal/US Merit Systems Protection Board Appeal Form expires 2021-06-30 and is listed under ICR 201905-3124-002.

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
DocumentType
Justification for No Material-Nonsubstantive Change.docx Justification for No Material/Nonsubstantive Change
PRA Final Supporting Statement A - MSPB Appeal Form 185 3-29-2013.pdfSupporting Statement A

All Historical Document Collections

Historical document collections
ReferenceFilingReceivedConcludedAction
202201-3124-002 Reinstatement without change of a previously approved collection 2022-01-07 Approved without change
201905-3124-002 Reinstatement without change of a previously approved collection 2019-05-28 Approved without change
201707-3124-001 Reinstatement without change of a previously approved collection 2017-07-26 Approved without change
201606-3124-001 Reinstatement without change of a previously approved collection 2016-06-09 Approved without change
201307-3124-001 No material or nonsubstantive change to a currently approved collection 2013-07-30 Approved without change
201303-3124-001 Revision of a currently approved collection 2013-04-03 Approved without change
201210-3124-002 Reinstatement without change of a previously approved collection 2012-11-19 Approved without change
201108-3124-001 Reinstatement without change of a previously approved collection 2011-08-08 Approved without change
200612-3124-001 Revision of a currently approved collection 2006-12-22 Approved with change
200310-3124-001 Revision of a currently approved collection 2003-10-08 Approved with change
200009-3124-001 Extension without change of a currently approved collection 2000-09-26 Approved without change
199906-3124-001 Extension without change of a currently approved collection 1999-06-30 Approved without change
199806-3124-001 Extension without change of a currently approved collection 1998-06-10 Approved without change
199706-3124-001 Extension without change of a currently approved collection 1997-06-10 Approved without change
199405-3124-001 Extension without change of a currently approved collection 1994-05-10 Approved without change
199104-3124-001 Revision of a currently approved collection 1991-04-24 Approved without change
198905-3124-001 New collection (Request for a new OMB Control Number) 1989-05-25 Approved without change