Certification of Compliance with the Statutory Eligibility Requirements of the Violence Against Women Act as Amended

Certification of Compliance with the Statutory Eligibility Requirements of the Violence Against Women Act as Amended

OMB: 1122-0001

IC ID: 12639

Information Collection (IC) Details

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Certification of Compliance with the Statutory Eligibility Requirements of the Violence Against Women Act as Amended 1122-0001
 
No Modified
 
Required to Obtain or Retain Benefits
 
28 CFR 90

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form 1122-0001 Certification of Compliance with the Statutory Eligibility STOP Certification 1122-0001.pdf www.usdoj.gov/ovw Yes Yes Fillable Fileable Signable

Law Enforcement Citizen Protection

 

56 0
   
State, Local, and Tribal Governments
 
   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 56 0 0 0 0 56
Annual IC Time Burden (Hours) 56 0 0 0 0 56
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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