OMB.report

Federal forms, ICRs, and supporting documents

OMB control number

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

OMB 1122-0001 · DOJ/OVW.

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. To be eligible for funds, applicants must certify that they are in compliance with relevant requirements under 28 CFR Part 90 and 34 U.S.C. §10441, 10446-10451, and 10454.

The latest form for Certification of Compliance with the Statutory Eligibility Requirements of the Violence Against Women Act as Amended expires 2029-08-31 and is listed under ICR 202604-1122-001.

View the official OMB control history on Reginfo.gov.

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
DocumentType
Form 1122-0001 Certification of Compliance with the Statutory Eligibility Requirements of the Violence Against Women Act as Amended, STOP Formula Grant ProgramForm
Form 1122-0001 Certification of Compliance with the Statutory Eligibility Requirements of the Violence Against Women Act as Amended, STOP Formula Grant ProgramForm
OVW-STOP-certification-amended 2022.pdfSupplementary Document
OVW-STOP-certification-amended 2022.pdfSupplementary Document
34 USC 12291.pdfSupplementary Document
34 USC 10454.pdfSupplementary Document
34 USC 10451.pdfSupplementary Document
34 USC 10450.pdfSupplementary Document
34 USC 10450.pdfSupplementary Document
34 USC 10449.pdfSupplementary Document
34 USC 10449.pdfSupplementary Document
34 USC 10448.pdfSupplementary Document
34 USC 10447.pdfSupplementary Document
34 USC 10446.pdfSupplementary Document
34 USC 10441.pdfSupplementary Document
34 USC 10441.pdfSupplementary Document
STOP CERT supporting statement - April 2026.docxSupporting Statement A
Certification of Compliance with the Statutory Eligibility Requirements of the Violence Against Women Act as Amended Form
Certification of Compliance with the Statutory Eligibility Requirements of the Violence Against Women Act as Amended Form

All Historical Document Collections

Historical document collections
ReferenceFilingReceivedConcludedAction
202604-1122-001 Extension without change of a currently approved collection 2026-04-13
202211-1122-001 Revision of a currently approved collection 2023-03-07 Approved without change
202202-1122-001 Extension without change of a currently approved collection 2022-04-20 Approved without change
201902-1122-003 Extension without change of a currently approved collection 2019-02-28 Approved without change
201312-1122-001 Revision of a currently approved collection 2015-12-14 Approved without change
201211-1122-001 Extension without change of a currently approved collection 2012-11-15 Approved without change
200909-1122-001 Extension without change of a currently approved collection 2009-09-15 Approved with change
200608-1122-001 Revision of a currently approved collection 2006-08-14 Approved without change
200507-1122-001 Reinstatement without change of a previously approved collection 2005-07-21 Approved without change