Information Collection

STOP Formula Grant Program Match Documentation Worksheet

IC 225984 under ICR 201703-1122-001 · OMB 1122-0034.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1122-0034 can be found here:

Documents and Forms

Document Name Document Type
Form 1122-0000 STOP Formula Grant Program Match Documentation Worksheet Form
1122-0000 STOP Match Worksheet Copy of STOP Match Caluculation- 11-15-2016 - with signature.xlsx www.usdoj.gov/ovw Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	STOP Formula Grant Program Match Documentation Worksheet	Agency IC Tracking Number:	1122-XXXX

Is this a Common Form? No		IC Status: New

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	1122-0000	STOP Match Worksheet	Copy of STOP Match Caluculation- 11-15-2016 - with signature.xlsx	www.usdoj.gov/ovw	Yes	Yes	Fillable Printable

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 58	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	58	58
Annual IC Time Burden (Hours)	10	10
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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.