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DHS Civil Rights and Civil Liberties Complaint and Privacy Waiver Form

IC 247887 under ICR 202212-1601-001 · OMB 1601-0035.

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DHS Civil Rights and Civil Liberties Complaint and Privacy Waiver Form
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-website DHS_CRCL_Civil Rights Complaint Form_8-1-22.pdf https://www.dhs.gov/file-civil-rights-complaint Yes No Fillable Printable
Other-screenshots PRA Screenshots for Web Portal.docx Yes Yes Fillable Fileable Signable

Workforce Management Labor Rights Management

DHS ALL-029 Civil Rights and Civil Liberties Records System of Records  86 FR 33331

2,000 0
   
Individuals or Households
 
   50 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 2,000 0 0 0 0 2,000
Annual IC Time Burden (Hours) 2,000 0 0 0 0 2,000
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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