United States Victims of State Sponsored Terrorism Fund Application

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
1123-0013 Notice of Filing Claim_072916.docx	Supplementary Document	Uploaded 2016-07-29	Available
1123-0013_Non-Substantive Change Request_072916.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2016-07-29	Available
Online Claim Form Screen shots.docx	Supplementary Document	Uploaded 2016-07-15	Available
USVSST Supporting Statement A 20160708.docx	Supporting Statement A	Uploaded 2016-07-08	Available
USVSST Fund FAQS.pdf	Supplementary Document	Uploaded 2016-07-08	Available
42 USC 10609.pdf	Supplementary Document	Uploaded 2016-07-08	Available
USVSST APPLICATION FORM.docx	Supplementary Document	Uploaded 2016-07-07	Available
Ltr PRA.Nye (Signed).pdf	Supplementary Document	Uploaded 2016-07-07	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
222379	USVSST Application	Other-Application Form	Unchanged

ICR Details

OMB Control No: 1123-0013	ICR Reference No: 201607-1123-002
Status: Historical Active	Previous ICR Reference No: 201607-1123-001
Agency/Subagency: DOJ/CD	Agency Tracking No:
Title: United States Victims of State Sponsored Terrorism Fund Application
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR:  No
Type of Review Request: Emergency	Approval Requested By: 07/15/2016
OIRA Conclusion Action: Approved without change	Conclusion Date: 08/01/2016
	Date Received in OIRA: 07/29/2016
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	01/31/2017	01/31/2017	01/31/2017
Responses	1,200	0	1,200
Time Burden (Hours)	2,400	0	2,400
Cost Burden (Dollars)	0	0	0

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Abstract: DOJ Criminal Division is requesting emergency approval of a new collection that would require information necessary to determine claim eligibility from applicants to the United States Victims of State Sponsored Terrorism Fund.

Emergency Justfication: The Special Master, appointed by the U.S. Attorney General to administer the United States Victims of State Sponsored Terrorism (USVSST) Fund, requests emergency review of the USVSST Fund Application Form. Emergency processing is essential because compliance with normal ICR procedures would cause several statutory deadlines to be missed. Expedited approval of the application is necessary to achieve compliance with the mandatory statutory deadlines in the Act. The Justice for United States Victims of State Sponsored Terrorism Act (42 U.S.C. § 10609) imposes several short timelines for compensating eligible victims of international terrorism: Under 42 U.S.C. § 10609(b)(2)(A), the Special Master must publish a notice in the Federal Register specifying the procedures necessary to apply and establish eligibility for payment. In accordance with 42 U.S.C. § 10609(c)(3)(A), applicants have 90 days thereafter to file an application. The Special Master will review each claim with regard to compensation from the fund and provide written determinations to the Attorney General and each claimant. 42 U.S.C. § 10609(b)(4)(A) permits an applicant 30 days to request a hearing after receipt of a decision denying the claim in whole or in part, and allows the Special Master 90 days after the hearing to make a final written determination. After all these procedures, all initial payments must be authorized by December 18, 2016, in accordance with 42 U.S.C. § 10609(d)(2). Adding the 90-day process required under normal ICR procedures would prevent DOJ from meeting the statutory deadline to authorize initial payments not later than one year after the enactment of the Act on December 18, 2015, and would cause a failure in an essential mission of the Department, to expeditiously compensate victims of terrorism.

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Authorizing Statute(s): US Code: 42 USC 10609 Name of Law: Justice for United States Victims of State Sponsored Terrorism Act
  

Citations for New Statutory Requirements: US Code: 42 USC 10609(b)(2)(B) Name of Law: Justice for United States Victims of State Sponsored Terrorism Act
US Code: 42 USC 10609(c)(3)(A) Name of Law: Justice for United States Victims of State Sponsored Terrorism Act
US Code: 42 USC 10609(b)(4)(A) Name of Law: Justice for United States Victims of State Sponsored Terrorism Act
US Code: 42 USC 10609(d)(2) Name of Law: Justice for United States Victims of State Sponsored Terrorism Act

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

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Federal Register Notices & Comments

Did the Agency receive public comments on this ICR? No

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

table that charts list of burden

IC Title	Form No.	Form Name
USVSST Application

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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	1,200	1,200	0	0	0	0
Annual Time Burden (Hours)	2,400	2,400	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: New emergency collection.

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Annual Cost to Federal Government:

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

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Common Form ICR:  No

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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: 07/29/2016

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