Crime Victim Compensation State Certification Form

Forms and Documents

Document Name	Status
Form OJP-7390/5 Crime Victim Compensation State Certification Form Form	Unchanged
Justification for change.doc Justification for No Material/Nonsubstantive Change	2007-03-01
SupportStatementOmb.2005.doc Supporting Statement A	0000-00-00
vc_certification_form instructions01_07.xls Supplementary Document	2007-03-01

IC Document Collections

IC ID	Document Title	Status
12438	Crime Victim Compensation State Certification Form Form	Unchanged

ICR Details

OMB Control No: 1121-0170	ICR Reference No: 200812-1121-003
Status: Historical Active	Previous ICR Reference No: 200702-1121-002
Agency/Subagency: DOJ/OJP	Agency Tracking No: OVC
Title: Crime Victim Compensation State Certification Form
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 04/15/2009
	Date Received in OIRA: 02/27/2009
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	04/30/2012	36 Months From Approved	04/30/2009
Responses	54	0	54
Time Burden (Hours)	54	0	54
Cost Burden (Dollars)	0	0	0

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Abstract: The information request is necessaary to ensure compliance with statutory criteria which allows the Director of OVC to collect financial data from recipients of VOCA victim compensation grant funds. Data is used to calculate annual formula grants. This change is on line F of the instructions, the last sentence should read, "upon review and approval by the OJP office of the Comptroller, your Federal grant award will equal 60% of this figure." The percentage says 40% and needs to be changed to 60%.

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Authorizing Statute(s): PL: Pub.L. 98 - 473 1402 Name of Law: Victims Compensation and Assistance Act of 1984
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	73 FR 74196	12/05/2008
30-day Notice:	Federal Register Citation:	Citation Date:
	74 FR 8271	02/24/2009
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
Crime Victim Compensation State Certification Form	OJP-7390/5	Crime Victim Compensation State Certification Form

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ICR Summary of Burden

	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	54	54	0	0	0	0
Annual Time Burden (Hours)	54	54	0	0	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

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Annual Cost to Federal Government: $0

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? Uncollected

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? Uncollected

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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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:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(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;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

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.

Certification Date: 02/27/2009

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