Semi-annual Progress Report for Safe Havens: Supervised Visitation and Safe Exchange Grant Program

Forms and Documents

Document Name	Status
Form 1122-0009 Semi-annual Progress Report for Safe Havens: Supervised Visitation and Safe Exchange Grant Program Form	Modified
ombrocisSafeHavensNEWsupportstatement.doc Supporting Statement A	2014-09-24
safehavensstatute.pdf Supporting Statement B	2008-04-28

IC Document Collections

IC ID	Document Title	Status
12647	Semi-annual Progress Report for Safe Havens: Supervised Visitation and Safe Exchange Grant Program Form	Modified

ICR Details

OMB Control No: 1122-0009	ICR Reference No: 201409-1122-005
Status: Historical Active	Previous ICR Reference No: 201106-1122-004
Agency/Subagency: DOJ/OVW	Agency Tracking No: 1122-0009
Title: Semi-annual Progress Report for Safe Havens: Supervised Visitation and Safe Exchange Grant Program
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 12/05/2014
	Date Received in OIRA: 09/30/2014
Terms of Clearance: The data from this collection should not be used to draw conclusions about the overall impact of the grant program.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	12/31/2017	36 Months From Approved	12/31/2014
Responses	66	0	66
Time Burden (Hours)	66	0	66
Cost Burden (Dollars)	0	0	0

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Abstract: This information collection is necessary for the Attorney General and grantees from the Safe Havens: Supervised Visitation and Safe Exchange Grant Program to comply with federal statutory and regulatory reporting requirements. The information will be used for a report to Congress on the use of appropriated funds in support of the grant program and to report pursuant to the Government Performance and Results Act (GPRA). The respondents are units of local government, state governments and tribal government.

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Authorizing Statute(s): US Code: 42 USC 10420 Name of Law: Violence Agianst Women Act of 2000
  

Citations for New Statutory Requirements: None

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

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	79 FR 35797	06/24/2014
30-day Notice:	Federal Register Citation:	Citation Date:
	79 FR 51610	08/29/2014
Did the Agency receive public comments on this ICR? No

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

IC Title	Form No.	Form Name
Semi-annual Progress Report for Safe Havens: Supervised Visitation and Safe Exchange Grant Program	1122-0009	Semi Annual Progress Report for Supervised Visitation Program

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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	66	66	0	0	0	0
Annual Time Burden (Hours)	66	66	0	0	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

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

Burden Increase Due to:

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

Burden Reduction Due to:

Short Statement:

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Annual Cost to Federal Government: $3,696

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]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

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

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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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: 09/30/2014

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