Information Collection Request

Annual Certification Report and Equitable Sharing Agreement

ICR 201207-1123-001 · OMB 1123-0011 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form OMB Number 1123-00 Annual Certification Report and Equitable Sharing Agreement Form and Instruction Modified Available
Update to 1123-0011_ACA Enhancements v2-1 - OMB version_071112.doc Justification for No Material/Nonsubstantive Change Uploaded 2012-07-11 Available
2012 - AFMLS Supporting Statement.doc Supporting Statement A Uploaded 2012-07-17 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
182734 Annual Certification Report and Equitable Sharing Agreement Form and Instruction Modified

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
09/30/2014 09/30/2014 09/30/2014
8,888 0 9,736
4,445 0 4,869
0 0 0





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table that charts list of burden
IC Title Form No. Form Name
Annual Certification Report and Equitable Sharing Agreement OMB Number 1123-0011 Equitable Sharing Agreement and Certification

table that charts list of burden
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 8,888 9,736 0 0 -848 0
Annual Time Burden (Hours) 4,445 4,869 0 0 -424 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
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