Americans with Disabilities Act Discrimination Complaint Form

Americans with Disabilities Act Discrimination Complaint Form

OMB: 1190-0009

IC ID: 12906

Information Collection (IC) Details

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Americans with Disabilities Act Discrimination Complaint Form
 
No Modified
 
Voluntary
 
28 CFR 35

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form 1190-0009 Americans with Disabilities Act Discrimination Complaint Form ADA Discimination Complaint Form.mht http://www.ada.gov/complaint/ Yes Yes Fillable Fileable

Litigation and Judicial Activities Legal Prosecution and Litigation

 

11,192 0
   
Individuals or Households
 
   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 11,192 0 2,092 0 0 9,100
Annual IC Time Burden (Hours) 8,394 0 3,844 0 0 4,550
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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