View Information Collection Request (ICR) Package

Please note that the OMB number and expiration date may not have been determined when this Information Collection Request and associated Information Collection forms were submitted to OMB. The approved OMB number and expiration date may be found by clicking on the Notice of Action link below.

View ICR - OIRA Conclusion

OMB Control No: 1190-0009	ICR Reference No: 201201-1190-001
Status: Historical Active	Previous ICR Reference No: 201005-1190-003
Agency/Subagency: DOJ/CRT	Agency Tracking No:
Title: Title II of the Americans with Disabilities Act of 1990/Section 504 Rehabilitation Act of 1973 Discrimination Complaint Form
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 05/02/2012
	Date Received in OIRA: 01/26/2012
Terms of Clearance: We encourage the agency to make this form fully electonic by the next submission, consistent with the agency's plan as stated in the supporting statement.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	05/31/2015	36 Months From Approved	05/31/2012
Responses	5,000	0	5,000
Time Burden (Hours)	3,750	0	3,750
Cost Burden (Dollars)	0	0	0

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