Information Collection

Annual Progress Report for Grantees from the STOP Formula Grant Program

IC 12641 under ICR 201703-1122-002 · OMB 1122-0003.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1122-0003 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1122-0003 STOP Sugbrantee Form Annual Progress Report for Grantees from the STOP Formula Grant Program	Form
Form 1122-0003 STOP State Administrator Form Annual Progress Report for Grantees from the STOP Formula Grant Program	Form
STOPSubgranteeInstructions.pdf muskie.usm.maine.edu/vawamei/stopformulaform.htm	Instruction
STOPAdminInstructions.pdf muskie.usm.maine.edu/vawamei/stopformulaform.htm	Instruction
1122-0003 STOP Sugbrantee Form STOPSubgranteeFormGMS.pdf muskie.usm.maine.edu/vawamei/stopformulaform.htm	Form
1122-0003 STOP State Administrator Form STOPAdminFormGMSSample.pdf muskie.usm.maine.edu/vawamei/stopformulaform.htm	Form

IC Title:

Annual Progress Report for Grantees from the STOP Formula Grant Program

Agency IC Tracking Number:

1122-0003

Is this a Common Form? No

IC Status: Unchanged

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	1122-0003	http://muskie.usm.maine.edu/vawamei/stopformulaform.htm	Yes	Yes	Fillable Printable
Instruction		http://muskie.usm.maine.edu/vawamei/stopformulaform.htm	Yes	Yes	Fillable Printable
Form	1122-0003	http://muskie.usm.maine.edu/vawamei/stopformulaform.htm	Yes	Yes	Fillable Fileable Signable
Instruction		http://muskie.usm.maine.edu/vawamei/stopformulaform.htm	Yes	Yes	Fillable Fileable Signable

Line of Business: Law Enforcement

Subfunction: Crime Prevention

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 2,556

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	2,556	2,556
Annual IC Time Burden (Hours)	2,556	2,556
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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.

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