Annual Certification Report and Equitablr Sharing Agreement

Annual Certification Report and Equitable Sharing Agreement

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1123-0011 can be found here:

Documents and Forms

Document Name Document Type
Form OMB Number 1123-XX Annual Certification Report and Equitablr Sharing Agreement Form and Instruction
OMB Number 1123-XX Equitable Sharing Agreement and Certification ACA Form Release Candidate v 7.pdf Form and Instruction

Information Collection (IC) Details

IC Title:	Annual Certification Report and Equitablr Sharing Agreement	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Mandatory

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	OMB Number 1123-XXXX	Equitable Sharing Agreement and Certification	ACA Form Release Candidate v 7.pdf		Yes	No	Fillable Printable

Line of Business: Law Enforcement

Subfunction: Citizen Protection

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 8,729	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	8,729	8,729
Annual IC Time Burden (Hours)	4,365	4,365
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.