Information Collection

STOP Formula Grant Program Match Documentation Worksheet

IC 225984 under ICR 202309-1122-001 · OMB 1122-0034.

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
Form 1122-0034 STOP Match Worksheet STOP Formula Grant Program Match Documentation Worksheet	Form
1122-0034 STOP Match Worksheet STOP Match Caluculation - Update 4-08-2020.xlsx	Form
1122-0034 STOP Match Worksheet STOP Match Caluculation - Update 4-08-2020.xlsx	Form

IC Title:

Agency IC Tracking Number:

1122-0034

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	1122-0034			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: 51

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	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	51	-7	58
Annual IC Time Burden (Hours)	9	-1	10
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
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.

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