Crime Victim Compensation State Certification Form

Forms and Documents

Document Name	Status
Form OJP-7390/5 Crime victim Compensation State Certification Form Form	New
Form OJP-7390/5 Crime Victim Compensation State Certification Form Form	Removed
SupportStatementOmb_2005Updated_(2)[1].doc Supporting Statement A	2013-02-27

IC Document Collections

IC ID	Document Title	Status
204493	Crime victim Compensation State Certification Form Form	New
12438	Crime Victim Compensation State Certification Form Form	Removed

ICR Details

OMB Control No: 1121-0170	ICR Reference No: 201210-1121-001
Status: Historical Active	Previous ICR Reference No: 200812-1121-003
Agency/Subagency: DOJ/OJP	Agency Tracking No: OVC
Title: Crime Victim Compensation State Certification Form
Type of Information Collection: Reinstatement without change of a previously approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 02/27/2013
	Date Received in OIRA: 10/22/2012
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	02/29/2016	36 Months From Approved
Responses	53	0	0
Time Burden (Hours)	53	0	0
Cost Burden (Dollars)	0	0	0

---

Abstract: This information request is necessary 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.

---

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

---

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

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	76 FR 79219	12/21/2011
30-day Notice:	Federal Register Citation:	Citation Date:
	77 FR 12079	02/28/2012
Did the Agency receive public comments on this ICR? No

---

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
Crime victim Compensation State Certification Form	OJP-7390/5	Crime Victim Compensation State Certification Form

---

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	53	0	0	53	0	0
Annual Time Burden (Hours)	53	0	0	53	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

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

Burden Reduction Due to:

Short Statement: The reduction in burden is the result of the burden being incorrectly reported in the previous submission. There are 53 grantees that receive these benefits not 54.

---

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]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

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

Is this ICR related to the Pandemic Response? Uncollected

---

Common Form ICR:  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:

(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: 10/22/2012

---