Semi-Annual Progress Report for the Tribal Sexual Assault Services Program

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form 1122-0024 Semi-Annual Progress Report for the Tribal Sexual Assault Services Program	Form	Unchanged	Available
ombrocis2017REVISEDTriballSASPnewsupportstatement.doc	Supporting Statement A	Uploaded 2017-03-01	Available
SASPstatute.doc	Supplementary Document	Uploaded 2010-08-23	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
194369	Semi-Annual Progress Report for the Tribal Sexual Assault Services Program	Form	Unchanged

ICR Details

OMB Control No: 1122-0024	ICR Reference No: 201701-1122-003
Status: Historical Active	Previous ICR Reference No: 201310-1122-002
Agency/Subagency: DOJ/OVW	Agency Tracking No: 1122-0024
Title: Semi-Annual Progress Report for the Tribal Sexual Assault Services Program
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 03/10/2017
	Date Received in OIRA: 01/31/2017
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	03/31/2020	36 Months From Approved	03/31/2017
Responses	30	0	30
Time Burden (Hours)	30	0	30
Cost Burden (Dollars)	0	0	0

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Abstract: Under 42 U.S.C. 3789, the Office on Violence Against Women would require semi-annual progress reports on grant-funded activities from all Tribal Sexual Assault Services Program grantees in order to meet its Congressionally-mandated reporting requirements as well as to monitor effectively the award of federal funds.

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Authorizing Statute(s): US Code: 42 USC 14043(g) Name of Law: Violence Against Women Act
  

Citations for New Statutory Requirements: US Code: 42 USC 14043(g) Name of Law: Violence Against Women 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
60-day Notice:	Federal Register Citation:	Citation Date:
	81 FR 64510	09/20/2016
30-day Notice:	Federal Register Citation:	Citation Date:
	82 FR 8763	01/30/2017
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
Semi-Annual Progress Report for the Tribal Sexual Assault Services Program	1122-0024	Semi-Annual Progress Report for the Tribal Sexual Assault Services Program

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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	30	30	0	0	0	0
Annual Time Burden (Hours)	30	30	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:

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Annual Cost to Federal Government: $1,680

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: 01/31/2017

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