OMB control number
Crime Victims’ Rights Act Complaint Form
OMB 1105-0112 · DOJ/LA.
OMB 1105-0112
The Crime Victims’ Rights Act of 2004, 18 U.S.C. § 3771 (CVRA), sets forth the rights of a federal crime victim to file a complaint against any Department of Justice employee who violated or failed to provide rights established under the CVRA. The Department of Justice has created the Office of the Victims’ Rights Ombudsman to receive and investigate complaints filed by federal crime victims against its employees and has implemented “Procedures to Promote Compliance with Crime Victims’ Rights Obligations,” 28 C.F.R. § 45.10. The complaint process is not designed for the correction of specific victims’ rights violations but is instead used to request corrective or disciplinary action against Department of Justice employees who may have failed to provide rights to crime victims. The Department of Justice will investigate the allegations in the complaint to determine whether the employee used his or her “best efforts” to provide crime victim rights. The Office of the Crime Victims Rights Ombudsman does not administer crime victim funds or provide services.
The latest form for Crime Victims’ Rights Act Complaint Form expires 2026-11-30 and is listed under ICR 202307-1105-001.
Latest Forms, Documents, and Supporting Material
| Document | Type |
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| Form | |
| Supporting Statement A | |
| Supplementary Document | |
| Form |
All Historical Document Collections
| Reference | Filing | Received | Concluded | Action |
|---|---|---|---|---|
| 202307-1105-001 | New collection (Request for a new OMB Control Number) | 2023-09-29 | Approved without change |