Information Collection

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

IC 12651 under ICR 202406-1122-004 · OMB 1122-0013.

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:

Agency IC Tracking Number:

1122-0013

Is this a Common Form? No

IC Status: Unchanged

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	Change Due to Potential Violation of the PRA
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.