OMB control number
Financial Capability Form
OMB 1122-0030 · DOJ/OVW.
OMB 1122-0030
In accordance with 2 CFR 200.205, the Office on Violence Against Women is seeking information required for assessing the financial risk of an applicant’s ability to administer federal funds. The form includes a mix of check box and narrative questions related to the organization’s financial systems, policies and procedures. The affected public includes non-governmental applicants to OVW grant programs that do not currently (or within the last 3 years) have funding from OVW.
The latest form for Financial Capability Form expires 2029-05-31 and is listed under ICR 202602-1122-002.
Latest Forms, Documents, and Supporting Material
| Document | Type |
|---|---|
 Form 1122-0030 APPLICANT FINANCIAL CAPABILITY QUESTIONNAIRE | Form |
 1122-0030 Financial Capability Supporting Statement (final).docx | Supporting Statement A |
| 2 CFR 200.206 (up to date as of 2-11-2026).pdf | Supplementary Document |
 Financial Capability Form |
Form |
| Financial Capability Form |
Form |
All Historical Document Collections
| Reference | Filing | Received | Concluded | Action |
|---|---|---|---|---|
| 202602-1122-002 | Extension without change of a currently approved collection | 2026-02-19 | ||
| 202211-1122-002 | Extension without change of a currently approved collection | 2022-11-30 | Approved without change | |
| 201905-1122-001 | Revision of a currently approved collection | 2019-09-30 | Approved without change | |
| 201606-1122-001 | New collection (Request for a new OMB Control Number) | 2016-06-21 | Approved without change |