Semi-annual Progress Report for Transitional Housing Assistance Grant Program

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form 1122-0016 Semi-annual Progress Report for Transitional Housing Assistance Grant Program	Form	Modified	Available
THVAWA2013USCODE-2010-title42-chap136-subchapIII-partB-subpart4-sec13975.pdf	Supplementary Document	Uploaded 2015-01-20	Available
ombrocisTH2015NEWsupportstatement.doc	Supporting Statement A	Uploaded 2015-01-20	Available
vawa2000reportingrequirement.doc	Supplementary Document	Uploaded 2008-07-15	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
12654	Semi-annual Progress Report for Transitional Housing Assistance Grant Program	Form	Modified

ICR Details

OMB Control No: 1122-0016	ICR Reference No: 201501-1122-002
Status: Historical Active	Previous ICR Reference No: 201110-1122-002
Agency/Subagency: DOJ/OVW	Agency Tracking No:
Title: Semi-annual Progress Report for Transitional Housing Assistance Grant Program
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 04/24/2015
	Date Received in OIRA: 01/27/2015
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	04/30/2018	36 Months From Approved	04/30/2015
Responses	240	0	240
Time Burden (Hours)	240	0	240
Cost Burden (Dollars)	0	0	0

---

Abstract: Authorized by the Violence Against Women Act, this grant program provides transitional housing, short-term housing assistance, and related support services for individuals who are homeless, or in need of transitional housing or other housing assistance, as a result of fleeing a situation of domestic violence, dating violence, sexual assault, or stalking, and for whom emergency shelter services or other crisis intervention services are unavailable or insufficient.

---

Authorizing Statute(s): US Code: 42 USC 13975 Name of Law: Violence Against Women Act
  

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:
	79 FR 62674	10/20/2014
30-day Notice:	Federal Register Citation:	Citation Date:
	79 FR 77034	12/23/2014
Did the Agency receive public comments on this ICR? No

---

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

table that charts list of burden

IC Title	Form No.	Form Name
Semi-annual Progress Report for Transitional Housing Assistance Grant Program	1122-0016	Semi-Annual Progress Report for Transitional Housing Grant Program

---

ICR Summary of Burden

table that charts list 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	240	240	0	0	0	0
Annual Time Burden (Hours)	240	240	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:

---

Annual Cost to Federal Government: $13,440

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? Yes

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: 01/27/2015

---