OMB.report

Federal forms, ICRs, and supporting documents

OMB control number

International Terrorism Victim Expense Reimbursement Program Application

OMB 1121-0309 · DOJ/OJP.

OMB 1121-0309

The application is nesssary for victims/claimants to request reimbursement of funds. Collection of information is necessary to assist OVC staff to objectively, fairly, and equitably determine distribution of reimbursement of funds and account for allocation of funds. Respondent will include U.S. government employees and U.S. Nationals who become victims of international terrorism that occurs outside of the U.S.

The latest form for International Terrorism Victim Expense Reimbursement Program Application expires 2029-07-31 and is listed under ICR 202606-1121-003.

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
DocumentType
ITVERP applicationForm
OMB #1121-0309 Supporting Statement A vj.docxSupporting Statement A
6DocTheLaw1-Current.rtfSupplementary Document
International Terrorism Victim Expense Reimbursement Program Form
International Terrorism Victim Expense Reimbursement Program Other-supplemental sheets

All Historical Document Collections

Historical document collections
ReferenceFilingReceivedConcludedAction
202606-1121-003 Reinstatement without change of a previously approved collection 2026-06-17
202110-1121-001 Reinstatement without change of a previously approved collection 2022-07-22 Approved without change
201712-1121-003 Extension without change of a currently approved collection 2017-12-29 Approved without change
201409-1121-002 Extension without change of a currently approved collection 2014-09-24 Approved without change
201306-1121-003 Reinstatement without change of a previously approved collection 2013-06-27 Approved without change
201003-1121-002 Extension without change of a currently approved collection 2010-04-19 Approved without change
200702-1121-001 Extension without change of a currently approved collection 2007-02-21 Approved without change
200608-1121-005 New collection (Request for a new OMB Control Number) 2006-08-14 Approved with change
200505-1121-001 New collection (Request for a new OMB Control Number) 2005-05-03 Comment filed on proposed rule