Customer Complaint Form

OMB 1557-0232

The Customer Complaint Form was developed as a courtesy for those who contact the OCC's Customer Assistance Group and wish to file a formal, written complaint. This non-material change involves adding the approved Privacy Act Statement to the Spanish Language translation of the form.

The latest form for Customer Complaint Form expires 2021-06-30 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
1557-0232 Supporting Statement Customer Complaint Form Final.docx Supporting Statement A
Customer Complaint Form Other-Consumer Portal
Customer Complaint Form Other-Privacy Act Statement

All Historical Document Collections

202408-1557-001 Approved without change	Reinstatement with change of a previously approved collection	2024-08-05
202202-1557-001 Approved without change	No material or nonsubstantive change to a currently approved collection	2022-02-08
202107-1557-002 Approved without change	No material or nonsubstantive change to a currently approved collection	2021-07-14
202101-1557-004 Approved without change	Revision of a currently approved collection	2021-06-14
202010-1557-008 Approved without change	No material or nonsubstantive change to a currently approved collection	2020-10-29
202010-1557-002 Approved without change	No material or nonsubstantive change to a currently approved collection	2020-10-02
202009-1557-003 Approved without change	No material or nonsubstantive change to a currently approved collection	2020-09-17
202006-1557-004 Approved without change	No material or nonsubstantive change to a currently approved collection	2020-06-22
201905-1557-003 Approved without change	No material or nonsubstantive change to a currently approved collection	2019-05-16
201803-1557-003 Approved without change	Extension without change of a currently approved collection	2018-05-09
201503-1557-005 Approved without change	Revision of a currently approved collection	2015-08-24
201209-1557-001 Approved without change	Extension without change of a currently approved collection	2012-09-14
201103-1557-005 Approved without change	Extension without change of a currently approved collection	2011-09-28
200901-1557-001 Approved without change	No material or nonsubstantive change to a currently approved collection	2009-01-07
200809-1557-002 Approved without change	Revision of a currently approved collection	2008-11-10
200511-1557-001 Approved without change	New collection (Request for a new OMB Control Number)	2005-11-16