OMB control number

Annual Certification Report and Equitable Sharing Agreement

OMB 1123-0011 · DOJ/CD.

OMB 1123-0011

Under the Attorney General's discretionary authority to share forfeited assets under 18 U.S.C. § 981(e)(2) and 21 U.S.C. § 881(e)(1)(A), the Asset Forfeiture and Money Laundering Section of the Criminal Division, would require accounting information from state and local law enforcement agencies which participate in the Department's Equitable Sharing Program in order to ensure compliance with Program guidelines.

The latest form for Annual Certification Report and Equitable Sharing Agreement expires 2028-05-31 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
Form 1123-0011 Annual Certification Report and Equitable Sharing Agreement Form and Instruction
1123-0011_LE Equipment WG Final Report (FINAL)_091515.pdf Supplementary Document
1123-0011_83i-fill_091515.pdf Supplementary Document
Supporting Statement A_v2.docx Supporting Statement A
Annual Certification Report and Equitable Sharing Agreement Form and Instruction

All Historical Document Collections

202412-1123-001	Extension without change of a currently approved collection	2024-12-16
202112-1123-001 Approved without change	Extension without change of a currently approved collection	2021-12-29
201810-1123-001 Approved without change	Extension without change of a currently approved collection	2018-10-03
201509-1123-001 Approved without change	Revision of a currently approved collection	2015-09-22
201409-1123-001 Approved with change	Extension without change of a currently approved collection	2014-09-24
201207-1123-001 Approved without change	No material or nonsubstantive change to a currently approved collection	2012-07-11
201012-1123-001 Approved without change	Revision of a currently approved collection	2011-07-27
200711-1123-002 Approved without change	New collection (Request for a new OMB Control Number)	2008-06-23