Information Collection

STOP Formula Grant Program Match Documentation Worksheet

IC 225984 under ICR 202005-1122-003 · 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⚠️ Notice: This information collection may be referencing outdated material.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

Documents and forms in this information collection
Document Name	Document Type
Form 1122-0034 STOP Formula Grant Program Match Documentation Worksheet	Form
1122-0034 STOP Match Worksheet STOP Match Caluculation - Update 4-08-2020.xlsx www.usdoj.gov/ovw	Form

IC Title:

STOP Formula Grant Program Match Documentation Worksheet

Agency IC Tracking Number:

1122-0034

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

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	1122-0034	STOP Match Worksheet	STOP Match Caluculation - Update 4-08-2020.xlsx	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: 58

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	58	58
Annual IC Time Burden (Hours)	10	10
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.