Information Collection

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

IC 12418 under ICR 200806-1121-002 · OMB 1121-0140.

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Documents and forms in this information collection
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

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:

table that charts list of 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 %

table that charts list of burden
	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

table that charts IC Documents
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.