OMB
.report
Search
Complaint Form, Federal Coordination and Compliance Section, Civil Rights Division, U.S. Department of Justice
Complaint Form, Federal Coordination and Compliance Section, Civil Rights Division, U.S. Department of Justice
OMB: 1190-0008
IC ID: 12903
OMB.report
DOJ/CRT
OMB 1190-0008
ICR 201010-1190-001
IC 12903
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1190-0008 can be found here:
2023-05-19 - Extension without change of a currently approved collection
2020-02-25 - Extension without change of a currently approved collection
Documents and Forms
Document Name
Document Type
Form OMB 1190-0008
Complaint Form, Federal Coordination and Compliance Section, Civil Rights Division, U.S. Department of Justice
Form and Instruction
OMB 1190-0008 Complaint Form
Updated COMPLAINT FORM.doc
www.usdoj.gov/crt/fcs/index.thm
Form and Instruction
COR regs complaint form consent form.pdf
COR Regulations
IC Document
Electronic Code of Federal Regulations Title 28 Judicial Adminstration.pdf
Electronic Code of Federal Regulations Title 28 Judicial Administration
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Complaint Form, Federal Coordination and Compliance Section, Civil Rights Division, U.S. Department of Justice
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 and Instruction
OMB 1190-0008
Complaint Form
Updated COMPLAINT FORM.doc
http://www.usdoj.gov/crt/fcs/index.thm
Yes
No
Printable Only
Federal Enterprise Architecture Business Reference Module
Line of Business:
Law Enforcement
Subfunction:
Citizen Protection
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
2,000
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
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
2,000
0
0
0
0
2,000
Annual IC Time Burden (Hours)
1,000
0
0
0
0
1,000
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
COR Regulations
COR regs complaint form consent form.pdf
07/25/2007
Electronic Code of Federal Regulations Title 28 Judicial Administration
Electronic Code of Federal Regulations Title 28 Judicial Adminstration.pdf
07/26/2007
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.