Information Collection Request

Annual Certification Report and Equitable Sharing Agreement

ICR 202412-1123-001 · OMB 1123-0011 · Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form 1123-0011 Equitable Sharing Agreement and Certification Form and Instruction Unchanged Available
Form 1123-0011 Annual Certification Report and Equitable Sharing Agreement Form and Instruction Unchanged Missing upstream
1123-0011_LE Equipment WG Final Report (FINAL)_091515.pdf Supplementary Document Uploaded 2015-09-15 Repair queued
1123-0011_LE Equipment WG Final Report (FINAL)_091515.pdf Supplementary Document Uploaded 2015-09-15 Repair queued
1123-0011_83i-fill_091515.pdf Supplementary Document Uploaded 2015-09-15 Repair queued
1123-0011_83i-fill_091515.pdf Supplementary Document Uploaded 2015-09-15 Repair queued
Supporting Statement A_v2.docx Supporting Statement A Uploaded 2024-12-16 Available
Supporting Statement A_v2.docx Supporting Statement A Uploaded 2024-12-16 Available

IC Document Collections

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

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
05/31/2028 36 Months From Approved 05/31/2025
7,600 0 7,600
3,800 0 3,800
0 0 0





Reginfo record details
1
table that charts list of burden
IC Title Form No. Form Name
Annual Certification Report and Equitable Sharing Agreement 1123-0011

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 7,600 7,600 0 0 0 0
Annual Time Burden (Hours) 3,800 3,800 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No