Information Collection Request

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

ICR 201511-1122-004 · OMB 1122-0029 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
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 Unchanged Available
ombrocisEXTENSIONPREASTOPCERTsupportstatement.doc Supporting Statement A Uploaded 2017-07-17 Available
USCODE-2005-title42-chap147-sec15601.pdf Supplementary Document Uploaded 2014-06-04 Available
USCODE-2010-title42-chap46-subchapXII-H-sec3796gg.pdf Supplementary Document Uploaded 2014-06-04 Available

IC Document Collections

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
08/31/2020 36 Months From Approved 08/31/2017
56 0 56
48 0 48
0 0 0





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 56 56 0 0 0 0
Annual Time Burden (Hours) 48 48 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No