View Information Collection (IC)

View Information Collection (IC)

View Information Collection (IC)

IC Title:	Office of Special Counsel for Immigration-Related Unfair Employment Practices Charge Form	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation: 28 CFR 44

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	OMB Number 1190-0018	OSC Charge Form	1190-0018 OSC Charge Form_061516.pdf	www.justice.gov/crt/about/osc	Yes	Yes	Fillable Fileable Signable
Form and Instruction	OMB 1190-0018	OSC Charge Form	POL_CHG_2019-08-29 1190-0018.docx	www.justice.gov/crt/about/osc	Yes	Yes	Fillable Fileable Signable

Federal Enterprise Architecture Business Reference Module

Line of Business: Litigation and Judicial Activities

Subfunction: Legal Investigation

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 210	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to New Statute	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate	Change Due to Potential Violation of the PRA	Previously Approved
Annual Number of Responses for this IC	210	0	0	0	0	210
Annual IC Time Burden (Hours)	105	0	0	0	0	105
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.