Semi-annual Progress Report for Children and Youth Exposed to Violence Program

Forms and Documents

Document Name	Status
Form 1122-0028 Semi-annual progress report for the Children and Youth Exposed to Violence Program Form	Unchanged
PLAW-113publ235.pdf Supplementary Document	2015-11-25
1122-0028 ombrocis2015CEVsupportstatement_121415.doc Supporting Statement A	2015-12-14

IC Document Collections

IC ID	Document Title	Status
202893	Semi-annual progress report for the Children and Youth Exposed to Violence Program Form	Unchanged

ICR Details

OMB Control No: 1122-0028	ICR Reference No: 201812-1122-001
Status: Active	Previous ICR Reference No: 201511-1122-003
Agency/Subagency: DOJ/OVW	Agency Tracking No: 1122-0028
Title: Semi-annual Progress Report for Children and Youth Exposed to Violence Program
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 04/29/2019
	Date Received in OIRA: 02/28/2019
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	04/30/2022	36 Months From Approved	04/30/2019
Responses	50	0	50
Time Burden (Hours)	50	0	50
Cost Burden (Dollars)	0	0	0

---

Abstract: The Consolidated Grant Program to Address Children and Youth Experiencing Domestic and Sexual Assault and Engage Men and Boys as Allies (hereinafter referred to as the Consolidated Youth Program) was enacted in the FY 2012, 2013, 2014, and 2015 appropriation acts and consolidates four previously authorized and appropriated programs into one comprehensive program. The four programs included in the FY2012, FY2013, FY2014, and FY 2015 consolidations were Services to Advocate for and Respond to Youth (Youth Services), Assist Children and Youth Exposed to Violence (CEV), Engaging Men and Youth in Preventing Domestic Violence (EMY), and Supporting Teens through Education and Prevention (STEP). While OVW develops a new form for this consolidated grant program, certain Consolidated Youth Program grantees will be using the semi-annual progress reporting form previously developed for CEV grantees.

---

Authorizing Statute(s): PL: Pub.L. 113 - 235 Div. B Name of Law: Consolidated and Further Continuing Appropriations Act, 2015
  

Citations for New Statutory Requirements: None

---

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	83 FR 62605	12/04/2018
30-day Notice:	Federal Register Citation:	Citation Date:
	84 FR 6160	02/26/2019
Did the Agency receive public comments on this ICR? Yes

---

Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
Semi-annual progress report for the Children and Youth Exposed to Violence Program	1122-0028	Semi-annual Progress Report Form for Children Exposed to Violence Program

---

ICR Summary 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	50	50	0	0	0	0
Annual Time Burden (Hours)	50	50	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:

---

Annual Cost to Federal Government: $1,400

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     No

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     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

---

Common Form ICR:  No

---

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: 02/28/2019

---