Information Collection

Requirements Data Collection Application for the Juvenile Accountability Incentive Block Grants Program

IC 12530 under ICR 200709-1121-001 · OMB 1121-0234.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Requirements Data Collection Application for the Juvenile Accountability Incentive Block Grants Program	Form
Data collection application in support of the Juvenile A JB Purpose Areas.doc grants.ojp.usdoj.gov/	Form

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

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
Form	None	Data collection application in support of the Juvenile Accountability Block Grant Program	JB Purpose Areas.doc	https://grants.ojp.usdoj.gov/	Yes	Yes	Fillable Fileable

Line of Business: Litigation and Judicial Activities

Subfunction: Resolution Facilitation

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: 100 %

table that charts list of burden
	Approved	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	4,200	4,200
Annual IC Time Burden (Hours)	4,200	4,200
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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.