Perjury Form

Freedom of Information Act (FOIA) Third Party Perjury Form

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1880-0545 can be found here:

Documents and Forms

Document Name Document Type
Form ED-EVM.001.1 Perjury Form Form and Instruction
ED-EVM.001.1 Perjury Form ED-EVM.001.1_v7.pdf Form and Instruction

Information Collection (IC) Details

IC Title:	Perjury Form	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

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	ED-EVM.001.1	Perjury Form	ED-EVM.001.1_v7.pdf		Yes	No	Fillable Fileable

Line of Business: Education

Subfunction: Elementary, Secondary, and Vocational Education

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 62,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	62,000	62,000
Annual IC Time Burden (Hours)	31,000	31,000
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

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