Equal Employment Opportunity Plan Short Form and Certification 28 CFR Section 42.301 et seq

Equal Employment Opportunity Plan Short Form and OJP standard assurances

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1121-0140 can be found here:

Documents and Forms

Document Name Document Type
Equal Employment Opportunity Plan Short Form and Certification 28 CFR Section 42.301 et seq Form and Instruction
Standard Assurances OJP Standard Assurances (showing 3 4 2008 revision) (2).pdf Form and Instruction
OJP Standard Assurances (showing 3 4 2008 revision) (2).pdf Standard Assurances IC Document
The change to standard assurances form.doc explanation for change IC Document

Information Collection (IC) Details

IC Title:	Equal Employment Opportunity Plan Short Form and Certification 28 CFR Section 42.301 et seq	Agency IC Tracking Number:	OGC/OCR

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	None	Standard Assurances	OJP Standard Assurances (showing 3 4 2008 revision) (2).pdf		Yes	No	Fillable Printable

Line of Business: Workforce Management

Subfunction: Training and Employment

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 6,371	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Previously Approved
Annual Number of Responses for this IC	6,371	6,371
Annual IC Time Burden (Hours)	2,560	2,560
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Standard Assurances	OJP Standard Assurances (showing 3 4 2008 revision) (2).pdf	06/12/2008
explanation for change	The change to standard assurances form.doc	06/12/2008

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.