OMB control number

COPS Extension Request Form

OMB 1103-0093 ยท DOJ/DOJADM.

OMB 1103-0093

The COPS Extension Request Form will be used in conjunction with all COPS Office grant programs. The four-page form allows grantees to request an extension of time for a particular grant by providing the status of its hiring/project activities, describing the reason the project cannot be implemented or completed on time, and providing current financial information. This information is used to determine whether the grantee has made adequate progress in hiring additional law enforcement officers, implementing their project and has sufficient funds available for the requested extension period. The form provides a summary of critical grant information: the particular program applied for, the number of officers awarded (if applicable), the award amount, remaining balance, and the start date of the grant. It is also required to indicate the title, name and email address of the requestor on page one of the forms. This information is requested to ensure that the database for the Office of Community Oriented Policing Services (COPS) contains the most current information on the grantee.

The latest form for COPS Extension Request Form expires 2022-01-31 and is listed under ICR 201811-1103-001.

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
DocumentType
COPS Extension FormForm and Instruction
COPS Extension Form Request - Supporting Statement A.docSupporting Statement A
Violent Crime Act of 1994.pdf Supplementary Document
COPS Extension Form Form and Instruction

All Historical Document Collections

Historical document collections
ReferenceFilingReceivedConcludedAction
202202-1103-001 Extension without change of a currently approved collection 2022-02-01 Approved without change
201811-1103-001 Reinstatement without change of a previously approved collection 2018-11-19 Approved without change
201507-1103-001 Revision of a currently approved collection 2015-08-20 Approved without change
201206-1103-003 Extension without change of a currently approved collection 2012-06-27 Approved without change
200905-1103-001 Extension without change of a currently approved collection 2009-05-29 Approved without change
200603-1103-001 Revision of a currently approved collection 2006-03-29 Approved without change
200301-1103-001 Existing collection in use without an OMB Control Number 2003-01-31 Approved without change