Information Collection

Regulations Containing Procedures for Handling of Retaliation Complaints

IC 14293 under ICR 201911-1218-004 · OMB 1218-0236.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1218-0236 can be found here:

Documents and Forms

Document Name Document Type
Webpage - Statutes Summary Chart.jpg www.whistleblowers.gov/sites/wb/files/2019-06/whistleblower_acts-desk_reference.pdf Other-Web page
Webpage - How to File - Part 1.jpg www.whistleblowers.gov/complaint_page Other-Web page
Webpage - How to File - Part 2.jpg www.whistleblowers.gov/complaint_page Other-Web page
Webpage - How to File - Part 3.jpg www.whistleblowers.gov/complaint_page Other-Web page
Webpage - How to File - Part 4.jpg www.whistleblowers.gov/complaint_page Other-Web page
OSHA 8-60.1 OSHA Online Whistleblower Complaint Form WB Online Complaint Form - Mock-Ups 02.20.2020.docx www.osha.gov/whistleblower/WBComplaint.html Form and Instruction
OSHA 8-60.1 Formulario Electronico de la OSHA para Presentar Queja C WB Spanish Online Complaint Form - Mock-Ups 02.26 FINAL.docx www.osha.gov/whistleblower/WBComplaintSpanish.html Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Regulations Containing Procedures for Handling of Retaliation Complaints	Agency IC Tracking Number:	1218-0236(2020)

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation: 29 CFR 1981 29 CFR 1986 29 CFR 1979 29 CFR 1982 29 CFR 1988 29 CFR 1977 29 CFR 1983 29 CFR 1984 29 CFR 1980 29 CFR 1978 29 CFR 1987 29 CFR 24 29 CFR 1985

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Web page			Webpage - Statutes Summary Chart.jpg	https://www.whistleblowers.gov/sites/wb/files/2019-06/whistleblower_acts-desk_reference.pdf	No		Printable Only
Other-Web page			Webpage - How to File - Part 1.jpg	https://www.whistleblowers.gov/complaint_page	Yes	No	Printable Only
Form and Instruction	OSHA 8-60.1	OSHA Online Whistleblower Complaint Form	WB Online Complaint Form - Mock-Ups 02.20.2020.docx	https://www.osha.gov/whistleblower/WBComplaint.html	Yes	Yes	Fillable Fileable
Other-Web page			Webpage - How to File - Part 2.jpg	https://www.whistleblowers.gov/complaint_page	Yes	No	Printable Only
Other-Web page			Webpage - How to File - Part 3.jpg	https://www.whistleblowers.gov/complaint_page	Yes	No	Printable Only
Other-Web page			Webpage - How to File - Part 4.jpg	https://www.whistleblowers.gov/complaint_page	Yes	No	Printable Only
Form and Instruction	OSHA 8-60.1	Formulario Electronico de la OSHA para Presentar Queja Como Denunciante	WB Spanish Online Complaint Form - Mock-Ups 02.26 FINAL.docx	https://www.osha.gov/whistleblower/WBComplaintSpanish.html	Yes	Yes	Fillable Fileable

Line of Business: Workforce Management

Subfunction: Worker Safety

Privacy Act System of Records
Title: DOL/OSHA 1, Retaliation Complaint File	FR Citation: 67 FR 16816

Number of Respondents: 10,126	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 54 %

	Requested	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	10,126	2,560	7,566
Annual IC Time Burden (Hours)	10,126	2,560	7,566
Annual IC Cost Burden (Dollars)	0	0	0

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.