Form 14: Electronic Submission Of Allegations And Disclosures

OMB 3255-0005

The previous version of this form was approved by OMB/OIRA to replace forms OSC-11, OSC-12, AND OSC-13, which were also previously approved by OMB. This updated electronic form will be used by current and former federal employees and applicants for federal employment, and other covered filers, to submit allegations of possible prohibited personnel practices or other prohibited activities for investigation and possible prosecution by OSC, or review and possible referral to relevant inspector general offices.

The latest form for Form 14: Electronic Submission Of Allegations And Disclosures expires 2023-03-31 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
Form OSC Form-14 FORM 14: ELECTRONIC SUBMISSION OF ALLEGATIONS AND DISCLOSURES Form and Instruction
USOSC Form 14 Full Form.pdf Supporting Statement B
OSC Emergency Justification Letter and Attachments.pdf Supplementary Document
Form 14 PRA Supporting Statement.pdf Supporting Statement A
FORM 14: ELECTRONIC SUBMISSION OF ALLEGATIONS AND DISCLOSURES Form and Instruction

202211-3255-001 Approved without change	Revision of a currently approved collection	2022-12-13
202002-3255-001 Approved without change	Extension without change of a currently approved collection	2020-02-03
201907-3255-002 Approved without change	Revision of a currently approved collection	2019-07-23
201907-3255-001 Improperly submitted and continue	Revision of a currently approved collection	2019-07-12
201706-3255-001 Approved with change	New collection (Request for a new OMB Control Number)	2017-06-10
201701-3255-001 Withdrawn	Existing collection in use without an OMB Control Number	2017-01-31
201609-3255-001 Comment filed on proposed rule	New collection (Request for a new OMB Control Number)	2016-09-08