Information Collection

Semi-annual Progress Report for the Rural Domestic Violence and Child Victimization Enforcement Grant Program

IC 12651 under ICR 200710-1122-003 · OMB 1122-0013.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1122-0013 can be found here:

Documents and Forms

Document Name Document Type
Form 1122-0013 Semi-annual Progress Report for the Rural Domestic Violence and Child Victimization Enforcement Grant Program Form
1122-0013 Semi Annual Progress Report for the Rural Domestic Viole Rural.pdf www.gms.gov Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Semi-annual Progress Report for the Rural Domestic Violence and Child Victimization Enforcement Grant Program	Agency IC Tracking Number:

Is this a Common Form? Yes		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	1122-0013	Semi Annual Progress Report for the Rural Domestic Violence and Child Victimization Enforcement Grants	Rural.pdf	www.gms.gov	Yes	Yes	Fillable Fileable Signable

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 165	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Previously Approved
Annual Number of Responses for this IC	330	330
Annual IC Time Burden (Hours)	330	330
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.