Information Collection Request
DHS Civil Rights and Civil Liberties Complaint and Privacy Waiver Form
ICR 202212-1601-001 · OMB 1601-0035 · Active
Forms and Documents
| Document | Type | Status | Availability |
|---|---|---|---|
 OMB Form 83-C 1601-0035.pdf |
Justification for No Material/Nonsubstantive Change | Uploaded 2022-12-07 | Available |
| OMB Form 83-C 1601-0035.pdf |
Justification for No Material/Nonsubstantive Change | Uploaded 2022-12-07 | Repair queued |
| privacy_pia_dhs_crclmatters.pdf |
Supplementary Document | Uploaded 2022-08-05 | Available |
| privacy_pia_dhs_crclmatters.pdf |
Supplementary Document | Uploaded 2022-08-05 | Repair queued |
| DHS_CRCL_Civil Rights Complaint Form_8-1-22.pdf |
Supplementary Document | Uploaded 2022-08-03 | Available |
| DHS_CRCL_Civil Rights Complaint Form_8-1-22.pdf |
Supplementary Document | Uploaded 2022-08-03 | Repair queued |
 Supporting Statement A (CRCL Compliance) 8-5-22.docx |
Supporting Statement A | Uploaded 2022-08-05 | Available |
| Supporting Statement A (CRCL Compliance) 8-5-22.docx |
Supporting Statement A | Uploaded 2022-08-05 | Repair queued |
| Federal Register, Volume 75 Issue 130 (Thursday, July 8, 2010).pdf |
Supplementary Document | Uploaded 2022-05-04 | Available |
| Federal Register, Volume 75 Issue 130 (Thursday, July 8, 2010).pdf |
Supplementary Document | Uploaded 2022-05-04 | Repair queued |
| USC 42 2000ee-1.pdf |
Supplementary Document | Uploaded 2021-08-23 | Available |
| USC 42 2000ee-1.pdf |
Supplementary Document | Uploaded 2021-08-23 | Repair queued |
| USC 6 345.pdf |
Supplementary Document | Uploaded 2021-08-23 | Available |
| USC 6 345.pdf |
Supplementary Document | Uploaded 2021-08-23 | Repair queued |
| 2021-17959.pdf |
Supplementary Document | Uploaded 2021-08-23 | Available |
| 2021-17959.pdf |
Supplementary Document | Uploaded 2021-08-23 | Missing upstream |
| 2021-13210.pdf |
Supplementary Document | Uploaded 2021-07-01 | Available |
| 2021-13210.pdf |
Supplementary Document | Uploaded 2021-07-01 | Repair queued |
IC Document Collections
| IC ID | Collection | Type | Status | Form |
|---|---|---|---|---|
| 247887 |  DHS Civil Rights and Civil Liberties Complaint and Privacy Waiver Form |
Other-website | Modified |
ICR Details
| Status | Active |
|---|---|
| Agency/Subagency | DHS/OS |
| OMB Control No | 1601-0035 |
| Type of Information Collection | No material or nonsubstantive change to a currently approved collection |
| Previous ICR Reference No | 202205-1601-003 |
| Date Submitted to OIRA | 2022-12-07 |
| Requested Expiration Date | 1969-12-31 |