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International Terrorism Victim Expense Reimbursement Program Application
International Terrorism Victim Expense Reimbursement Program Application
OMB: 1121-0309
IC ID: 12629
OMB.report
DOJ/OJP
OMB 1121-0309
ICR 200702-1121-001
IC 12629
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1121-0309 can be found here:
2022-07-22 - Reinstatement without change of a previously approved collection
2017-12-29 - Extension without change of a currently approved collection
Documents and Forms
Document Name
Document Type
(D-1) Application Instructions-Final rev 82406.baw.rtf DRW1.rtf
Instruction
(D-1) Application Supplemental-Current rev baw.rtf
Other-Supplement to Application
International Terrorism Victim Expense Reimbursement Pro
REVISED ITVERP Application w Waiver082406.baw.rtf
Form
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
International Terrorism Victim Expense Reimbursement Program Application
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Required to Obtain or Retain Benefits
CFR Citation:
28 CFR 94
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Instruction
(D-1) Application Instructions-Final rev 82406.baw.rtf DRW1.rtf
No
Paper Only
Other-Supplement to Application
(D-1) Application Supplemental-Current rev baw.rtf
No
Paper Only
Form
None
International Terrorism Victim Expense Reimbursement Program Application
REVISED ITVERP Application w Waiver082406.baw.rtf
No
Paper Only
Federal Enterprise Architecture Business Reference Module
Line of Business:
Litigation and Judicial Activities
Subfunction:
Resolution Facilitation
Privacy Act System of Records
Title:
Victims of International Terrorism Expense Reimbursement Program
FR Citation:
71 FR 44709
Number of Respondents:
2,000
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
0 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
2,000
0
0
0
0
2,000
Annual IC Time Burden (Hours)
1,500
0
0
0
0
1,500
Annual IC Cost Burden (Dollars)
6,000
0
0
0
0
6,000
Documents for IC
Title
Document
Date Uploaded
No associated records found
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.