Information Collection

Campus Program Grantee Needs and Progress Assesment Tool

IC 221452 under ICR 201910-1122-002 · OMB 1122-0031.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1122-0031 can be found here:

Documents and Forms

Document Name Document Type
Form 1122-XXXX Campus Program Grantee Needs and Progress Assesment Tool Form
1122-XXXX Campus Program Grantee Needs and Progress Assesment Tool CampusAssessment section Roadmap.pdf www.usdoj.gov/ovw Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Campus Program Grantee Needs and Progress Assesment Tool	Agency IC Tracking Number:	1122-XXXX

Is this a Common Form? No		IC Status: Unchanged

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	1122-XXXX	Campus Program Grantee Needs and Progress Assesment Tool	CampusAssessment section Roadmap.pdf	www.usdoj.gov/ovw	Yes	Yes	Fillable Fileable Signable

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 100	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	100	100
Annual IC Time Burden (Hours)	200	200
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.