Unfair Immigration-Related Employment Practices Complaint Form

Documents and Forms

Document Name Document Type
Form EOIR-58 Unfair Immigration-Related Employment Practices Complaint Form Form and Instruction
EOIR-58 Unfair Immigration-Related Employment Practices Complain 274B Complaint Form - Dec. 2021 Final.pdf Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Unfair Immigration-Related Employment Practices Complaint Form	Agency IC Tracking Number:	EOIR-58

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	EOIR-58	Unfair Immigration-Related Employment Practices Complaint Form	274B Complaint Form - Dec. 2021 Final.pdf		Yes	Yes	Fillable Fileable

Line of Business: Litigation and Judicial Activities

Subfunction: Legal Investigation

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 26	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Requested	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	26	4	22
Annual IC Time Burden (Hours)	26	4	22
Annual IC Cost Burden (Dollars)	260	-1,176	1,436

Documents for IC

Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.