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⚠️ Notice: This information collection may be referencing outdated material.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 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.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	1122-0003	STOP Sugbrantee Form	STOPSubgranteeFormGMS.pdf	http://muskie.usm.maine.edu/vawamei/stopformulaform.htm	Yes	Yes	Fillable Printable
Instruction			STOPSubgranteeInstructions.pdf	http://muskie.usm.maine.edu/vawamei/stopformulaform.htm	Yes	Yes	Fillable Printable
Form	1122-0003	STOP State Administrator Form	STOPAdminFormGMSSample.pdf	http://muskie.usm.maine.edu/vawamei/stopformulaform.htm	Yes	Yes	Fillable Fileable Signable
Instruction			STOPAdminInstructions.pdf	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
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Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.