Information Collection

Perjury Form

IC 213161 under ICR 201711-1880-001 · OMB 1880-0545.

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form ED-EVM.001.1 Perjury Form	Form and Instruction
ED-EVM.001.1 Perjury Form ED-EVM.001.3.pdf	Form and Instruction

IC Title:

Perjury Form

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

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	ED-EVM.001.1	Perjury Form	ED-EVM.001.3.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 %

table that charts list of burden
	Approved	Previously Approved
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

table that charts IC Documents
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.