Information Collection

Victims Of Crime Act, Crime Victim Compensation Grant Program, Program Instruction And Application Kit -- (1) Eligible State Payments Certification Form, Eligible ...

IC 120412 under ICR 199201-1121-001 · OMB 1121-0170.

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Documents and Forms

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Information Collection (IC) Details

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IC Title:

VICTIMS OF CRIME ACT, CRIME VICTIM COMPENSATION GRANT PROGRAM, PROGRAM INSTRUCTION AND APPLICATION KIT -- (1) ELIGIBLE STATE PAYMENTS CERTIFICATION FORM, ELIGIBLE ...

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Migrated

Obligation to Respond: Mandatory

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

Federal Enterprise Architecture Business Reference Module

Line of Business:

Subfunction:

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 56

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	56	56
Annual IC Time Burden (Hours)	224	224
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded

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