Certification of Compliance with the Statutory Eligibility Requirements for Tribal Governments

ICR 200507-1122-002

OMB: 1122-0002

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
ICR Details
1122-0002 200507-1122-002
Historical Active 200307-1121-006
DOJ/OVW
Certification of Compliance with the Statutory Eligibility Requirements for Tribal Governments
Reinstatement without change of a previously approved collection   No
Regular
Approved without change 07/21/2005
Retrieve Notice of Action (NOA) 07/21/2005
  Inventory as of this Action Requested Previously Approved
08/31/2006 08/31/2006
100 0 0
100 0 0
0 0 0

This information is necessary for the Justice Department to determine that Tribal government grantees comply with the statutory eligibility requirements of the Violence Against Women Act

None
None


No

1
IC Title Form No. Form Name
Certification of Compliance with the Statutory Eligibility Requirements for Tribal Governments

  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 100 0 0 100 0 0
Annual Time Burden (Hours) 100 0 0 100 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
No

$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
07/21/2005


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