Unfair Immigration-Related Employment Practices Complaint Form

ICR 201703-1125-001

OMB: 1125-0016

Federal Form Document

Forms and Documents
Document
Name
Status
Form and Instruction
Unchanged
Supplementary Document
2017-03-21
Supplementary Document
2017-03-21
Supplementary Document
2017-03-21
Supplementary Document
2017-03-21
Supplementary Document
2017-03-21
Supplementary Document
2016-03-29
Supplementary Document
2016-03-29
Justification for No Material/Nonsubstantive Change
2016-03-29
Supplementary Document
2016-03-29
Supplementary Document
2015-09-25
Supplementary Document
2015-07-21
Supplementary Document
2015-07-15
Supplementary Document
2015-07-15
Supplementary Document
2015-07-15
Supporting Statement A
2015-09-25
Supplementary Document
2015-05-26
IC Document Collections
ICR Details
1125-0016 201703-1125-001
Historical Active 201603-1125-006
DOJ/EOIR EOIR-58
Unfair Immigration-Related Employment Practices Complaint Form
No material or nonsubstantive change to a currently approved collection   No
Regular
Approved without change 04/25/2017
Retrieve Notice of Action (NOA) 04/13/2017
  Inventory as of this Action Requested Previously Approved
11/30/2018 11/30/2018 11/30/2018
22 0 22
22 0 22
1,436 0 1,436

Section 274B of the INA prohibits: employment discrimination on the basis of citizenship status or national origin; retaliation or intimidation by an employer against an individual seeking to exercise his or her rights under this section; and "document abuse" or overdocumentation by the employer, which occurs when the employer asks an applicant or employee for more or different documents than required for employment eligibility verification under INA section 274A, with the intent of discriminating against the employee in violation of section 274B.

US Code: 8 USC 1324b Name of Law: INA
  
None

Not associated with rulemaking

  80 FR 29340 05/21/2015
80 FR 42840 07/20/2015
No

1
IC Title Form No. Form Name
Unfair Immigration-Related Employment Practices Complaint Form EOIR-58 Unfair Immigration-Related Employment Practices Complaint Form

  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 22 22 0 0 0 0
Annual Time Burden (Hours) 22 22 0 0 0 0
Annual Cost Burden (Dollars) 1,436 1,436 0 0 0 0
No
No

$703
No
No
No
No
No
Uncollected
Christina Baptista 703 305-0992 christina.baptista@usdoj.gov

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
04/13/2017


© 2024 OMB.report | Privacy Policy