View Information Collection (IC)
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Agenda
Reg Review
ICR
View Information Collection (IC)
View Information Collection (IC)
IC Title:
(a) Complaint of Possible Prohibited Personnel Practice or Other Prohibited Activity, (b) Disclosure of Information
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Voluntary
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form
OSC-11
Complaint of Possible Prohibited Personnel Practice
OSC Form 11.screen.captures.pdf
to be determined once form is in production
Yes
Yes
Fillable Printable
Form
OSC-12
Information About Filing a Whistleblower Disclosure with the Office of Special Counsel
OSC Form 12.Screen.Captures.pdf
To be determined once form goes to production
Yes
Yes
Fillable Printable
Form and Instruction
OSC Form 13
Complaint of Possible Prohibited Political Activity (Violation of the Hatch Act)
osc13.pdf
http://www.osc.gov/forms.htm
Yes
No
Printable Only
Form
OSC Form 14
Complaint of Possible Violation of USERRA
osc14.pdf
http://www.osc.gov/forms.htm
Yes
No
Printable Only
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:
2,246
Number of Respondents for Small Entity:
0
Affected Public:
State, Local, and Tribal Governments
Percentage of Respondents Reporting Electronically:
0 %
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
2,246
0
0
0
0
2,246
Annual IC Time Burden (Hours)
2,689
0
0
0
0
2,689
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
OSC Form 11
osc11.pdf
07/10/2008
OSC Form 12
osc12.pdf
07/10/2008
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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