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Semi-annual Progress Report for the Grants to Support Tribal Domestic Violence and Sexual Assault Coalitions
Semi-annual Progress Report for the Grants to Support Tribal Domestic Violence and Sexual Assault Coalitions
OMB: 1122-0011
IC ID: 12649
OMB.report
DOJ/OVW
OMB 1122-0011
ICR 202101-1122-004
IC 12649
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1122-0011 can be found here:
2024-06-24 - Reinstatement without change of a previously approved collection
Documents and Forms
Document Name
Document Type
Form 1122-0011
Semi-annual Progress Report for the Grants to Support Tribal Domestic Violence and Sexual Assault Coalitions
Form
1122-0011 Semiannual Progress Report for the Tribal Coalitions Pro
TribalCoalitionsFormGMSSample.pdf
justicegrants.usdoj.gov/
Form
1122-0011 Semiannual Progress Report for the Tribal Coalitions Pro
TribalCoalitionsFormGMSSample.pdf
justicegrants.usdoj.gov/
Form
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Semi-annual Progress Report for the Grants to Support Tribal Domestic Violence and Sexual Assault Coalitions
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
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
1122-0011
Semiannual Progress Report for the Tribal Coalitions Program
TribalCoalitionsFormGMSSample.pdf
https://justicegrants.usdoj.gov/
Yes
Yes
Fillable Fileable Signable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Community and Social Services
Subfunction:
Social Services
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
14
Number of Respondents for Small Entity:
0
Affected Public:
State, Local, and Tribal Governments
Percentage of Respondents Reporting Electronically:
100 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
28
0
0
0
0
28
Annual IC Time Burden (Hours)
28
0
0
0
0
28
Annual IC Cost Burden (Dollars)
0
0
0
0
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.