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Federal forms, ICRs, and supporting documents

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OVC Victim Compensation State Certification form

IC 220839 under ICR 201703-1121-006 · OMB 1121-0243.

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OVC Victim Compensation State Certification form OAAM
 
No Modified
 
Required to Obtain or Retain Benefits
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form none OVC Victi Compensation State Certification form OVC Victim Compensation.pdf http://www.ojp.gov/gmscbt/ Yes Yes Fillable Fileable
Form n/a Crime Victim Copensation State Certification Form crime victim compensation state certification form.pdf http://www.ojp.gov/gmscbt Yes Yes Fillable Fileable

General Government Central Fiscal Operations

 

53 0
   
State, Local, and Tribal Governments
 
   100 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 53 0 0 0 0 53
Annual IC Time Burden (Hours) 53 0 0 0 0 53
Annual IC Cost Burden (Dollars) 4,738 0 0 0 0 4,738

Title Document Date Uploaded
Justification Justification for change on OVC Victim Compensation State Certification form 1121.docx 03/23/2017
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.