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: 201502-1190-001
Status: Historical Active	Previous ICR Reference No: 201201-1190-001
Agency/Subagency: DOJ/CRT	Agency Tracking No:
Title: Americans with Disabilities Act Discrimination Complaint Form
Type of Information Collection: Revision of a currently approved collection	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 07/09/2015
	Date Received in OIRA: 05/27/2015
Terms of Clearance: In accordance with 5 CFR 1320, this information collection as approved for 3 years. We encourage DOJ to include the option of electronically submitting attachment documents through the web-based form without requiring a two-step process of having to subsequently email attachments.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	07/31/2018	36 Months From Approved	07/31/2015
Responses	9,100	0	5,000
Time Burden (Hours)	4,550	0	3,750
Cost Burden (Dollars)	0	0	0

ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to Agency Discretion
Annual Number of Responses	9,100	5,000	4,100
Annual Time Burden (Hours)	4,550	3,750	800
Annual Cost Burden (Dollars)	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: There is a change in burden due to the increase number of complaints filed.

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