OMB control number
Form 14: Electronic Submission Of Allegations And Disclosures
OMB 3255-0005 · OSC.
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 is listed under ICR 202002-3255-001.
Latest Forms, Documents, and Supporting Material
| Document | Type |
|---|---|
 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 Supporting Statement A 2026.pdf | Supporting Statement A |
 FORM 14: ELECTRONIC SUBMISSION OF ALLEGATIONS AND DISCLOSURES |
Form and Instruction |
All Historical Document Collections
| Reference | Filing | Received | Concluded | Action |
|---|---|---|---|---|
| 202604-3255-001 | Reinstatement without change of a previously approved collection | 2026-04-27 | ||
| 202211-3255-001 | Revision of a currently approved collection | 2022-12-13 | Approved without change | |
| 202002-3255-001 | Extension without change of a currently approved collection | 2020-02-03 | Approved without change | |
| 201907-3255-002 | Revision of a currently approved collection | 2019-07-23 | Approved without change | |
| 201907-3255-001 | Revision of a currently approved collection | 2019-07-12 | Improperly submitted and continue | |
| 201706-3255-001 | New collection (Request for a new OMB Control Number) | 2017-06-10 | Approved with change | |
| 201701-3255-001 | Existing collection in use without an OMB Control Number | 2017-01-31 | Withdrawn | |
| 201609-3255-001 | New collection (Request for a new OMB Control Number) | 2016-09-08 | Comment filed on proposed rule |