OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

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

IC 12639 under ICR 202604-1122-001 · OMB 1122-0001.

Documents and Forms
Document Name
Document Type
Form
Form
Information Collection (IC) Details

View Information Collection (IC)

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 Requirements of the Violence Against Women Act as Amended, STOP Formula Grant Program OVW-STOP-certification-amended 2022.pdf www.justgrants.gov Yes Yes Fillable Fileable Signable

Law Enforcement Citizen Protection

 

56 0
   
State, Local, and Tribal Governments
 
   100 %

  Requested 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

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.
Something went wrong when downloading this file. If you have any questions, please send an email to [email protected].