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
EOIR-58-Instructions_rev-2025_draft.docx Instruction
EOIR-58 Unfair Immigration-Related Employment Practices Complain EOIR-58_rev-2025_draft-v4.docx Form

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: 28 CFR 68

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	EOIR-58	Unfair Immigration-Related Employment Practices Complaint Form	EOIR-58_rev-2025_draft-v4.docx		Yes	Yes	Fillable Fileable Signable
Instruction			EOIR-58-Instructions_rev-2025_draft.docx		Yes	Yes	Printable Only

Line of Business: Litigation and Judicial Activities

Subfunction: Legal Prosecution and Litigation

Privacy Act System of Records
Title: EOIR-002, OCAHO Cases Management System	FR Citation: 84 FR 42016

Number of Respondents: 38	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	38	12	26
Annual IC Time Burden (Hours)	38	12	26
Annual IC Cost Burden (Dollars)	954	694	260

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.