Information Collection

Semi-annual Progress Report for the Rural Domestic Violence and Child Victimization Enforcement Grant Program

IC 12651 under ICR 202101-1122-001 · OMB 1122-0013.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1122-0013 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1122-0013 Semi-annual Progress Report for the Rural Domestic Violence and Child Victimization Enforcement Grant Program	Form
1122-0013 Semiannual progress report for the Rural Program RURAL_FORM_static versionREVISED2017.pdf justicegrants.usdoj.gov/	Form
1122-0013 Semiannual progress report for the Rural Program RURAL_FORM_static versionREVISED2017.pdf justicegrants.usdoj.gov/	Form
RURALVAWA2013.docx Statute	IC Document
RURALVAWA2013.docx Statute	IC Document

IC Title:

Semi-annual Progress Report for the Rural Domestic Violence and Child Victimization Enforcement Grant Program

Agency IC Tracking Number:

1122-0013

Is this a Common Form? No

IC Status: Modified

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	1122-0013	Semiannual progress report for the Rural Program	RURAL_FORM_static versionREVISED2017.pdf	https://justicegrants.usdoj.gov/	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: 165

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	330	330
Annual IC Time Burden (Hours)	330	330
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Statute	RURALVAWA2013.docx	12/04/2017

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