Certification with the Statutory Eligibility Requirements of the Violence Against Women Act as Amended and the Prison Rape Elimination Act for the STOPFormula Grant Program

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1122-0029 can be found here:

Documents and Forms

Document Name Document Type
Form 1122-XXXX Certification with the Statutory Eligibility Requirements of the Violence Against Women Act as Amended and the Prison Rape Elimination Act for the STOPFormula Grant Program Form and Instruction
1122-XXXX Certification of Compliance with the Statutory Eligibili Copy of Copy of Copy of DRAFT_UPDATED PREA Form_2 10 2014_1531.xlsx www.usdoj.gov/ovw Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Certification with the Statutory Eligibility Requirements of the Violence Against Women Act as Amended and the Prison Rape Elimination Act for the STOPFormula Grant Program	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	1122-XXXX	Certification of Compliance with the Statutory Eligibility Requirements of the Violence Against	Copy of Copy of Copy of DRAFT_UPDATED PREA Form_2 10 2014_1531.xlsx	www.usdoj.gov/ovw	Yes	Yes	Fillable Fileable Signable

Line of Business: Law Enforcement

Subfunction: Crime Prevention

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 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	56	56
Annual IC Time Burden (Hours)	48	48
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.