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

OMB 1122-0001

This information is necessary for OVW to determine that grantees under the STOP Violence Against Women Formula Grant Program comply with the statutory eligibility requirements of the Violence Against Women Act as amended by the recent re-authorization of the Violence Against Women Act.

The latest form for Certification of Compliance with the Statutory Eligibility Requirements of the Violence Against Women Act as Amended expires 2022-04-30 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
Form 1122-0001 Certification of Compliance with the Statutory Eligibility Requirements of the Violence Against Women Act as Amended Form
34 USC12291.pdf Supplementary Document
34 USC10454.pdf Supplementary Document
34 USC10451.pdf Supplementary Document
34 USC 10450.pdf Supplementary Document
34 USC 10449.pdf Supplementary Document
34 USC 10448.pdf Supplementary Document
34 USC 10447.pdf Supplementary Document
34 USC 10446.pdf Supplementary Document
34 USC 10441.pdf Supplementary Document
ombrocis2022NEWSTOPCERTsupportstatementREVISIONS.pdf Supporting Statement A
Certification of Compliance with the Statutory Eligibility Requirements of the Violence Against Women Act as Amended Form

All Historical Document Collections

202211-1122-001 Approved without change	Revision of a currently approved collection	2023-03-07
202202-1122-001 Approved without change	Extension without change of a currently approved collection	2022-04-20
201902-1122-003 Approved without change	Extension without change of a currently approved collection	2019-02-28
201312-1122-001 Approved without change	Revision of a currently approved collection	2015-12-14
201211-1122-001 Approved without change	Extension without change of a currently approved collection	2012-11-15
200909-1122-001 Approved with change	Extension without change of a currently approved collection	2009-09-15
200608-1122-001 Approved without change	Revision of a currently approved collection	2006-08-14
200507-1122-001 Approved without change	Reinstatement without change of a previously approved collection	2005-07-21