Information Collection

Victim Assistance Performance Measures

IC 217092 under ICR 201506-1121-001 · OMB 1121-0243.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1121-0243 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Victim Assistance Performance Measures	Form and Instruction
Victim Assistance Performance Measures 2015 0615 Victim Assistance SUBGRANTEE Report.docx www.ojp.gov/gmscbt/	Form and Instruction

IC Title:

Victim Assistance Performance Measures

Agency IC Tracking Number:

OVC

Is this a Common Form? No

IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	none	Victim Assistance Performance Measures	2015 0615 Victim Assistance SUBGRANTEE Report.docx	http://www.ojp.gov/gmscbt/	Yes	Yes	Fillable Fileable

Line of Business: General Government

Subfunction: Central Fiscal Operations

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 252

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	252	252
Annual IC Time Burden (Hours)	14,112	14,112
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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.