OJP Standard Assurance form

Forms and Documents

Document Name	Status
Standard Assurances form Form and Instruction	Modified
gms login screen.pdf Supplementary Document	2009-11-23
1121-0140_Supporting_Statement_for_OJP_Standard_Assurances_form[2].doc Supporting Statement A	2009-11-23
statute 42 USC 3715.doc Supplementary Document	2009-10-01

IC Document Collections

IC ID	Document Title	Status
12418	Standard Assurances form Form and Instruction	Modified

ICR Details

OMB Control No: 1121-0140	ICR Reference No: 200908-1121-001
Status: Historical Active	Previous ICR Reference No: 200806-1121-002
Agency/Subagency: DOJ/OJP	Agency Tracking No: OGC/OCR
Title: OJP Standard Assurance form
Type of Information Collection: Reinstatement with change of a previously approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 12/08/2009
	Date Received in OIRA: 10/13/2009
Terms of Clearance: OMB notes that this collection was in use without OMB approval between 6/2009 and 12/2009.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	12/31/2012	36 Months From Approved
Responses	1,000	0	0
Time Burden (Hours)	10,000	0	0
Cost Burden (Dollars)	0	0	0

---

Abstract: This standard assurance form is necessary to ensure that all grantees receiving federal grant funds through the Office of Justice Programs (OJP) are aware of, and agree to comply with, the legal requirements accompanying these funds. This collection of information is authorized pursuant to Public Law 90-351 and OJP’s accompanying responsibility to oversee the expenditure of grants funds under programs authorized thereby.

---

Authorizing Statute(s): US Code: 42 USC 3715 Name of Law: Office of Justice Programs grants, cooperative agreements , and contracts
  

Citations for New Statutory Requirements: None

---

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	74 FR 29237	06/19/2009
30-day Notice:	Federal Register Citation:	Citation Date:
	74 FR 44875	08/31/2009
Did the Agency receive public comments on this ICR? No

---

Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
Standard Assurances form	None	Standard Assurances

---

ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	1,000	0	0	-5,371	0	6,371
Annual Time Burden (Hours)	10,000	0	0	7,440	0	2,560
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: This PRA collection expired in 06/2009. The previously approved collection included burden hours and annual responses numbers for another OJP form, the Equal Employment Opportunity Plan Short Form (EEOP). The burden for the EEOP form is being separated from this collection and will be submitted as a new collection. So the actual burden for the standard assurance form is not changing.

---

Annual Cost to Federal Government: $0

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? Uncollected

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? Uncollected

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

---

Common Form ICR:  No

---

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 10/13/2009

---