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Semi-annual Progress Report for Grants to Reduce Domestic Violence, Dating Violence, Sexual Assault and Stalking on Campus Program
Semi-annual Progress Report for Grants to Reduce Domestic Violence, Dating Violence, Sexual Assault and Stalking on Campus Program
OMB: 1122-0005
IC ID: 12643
OMB.report
DOJ/OVW
OMB 1122-0005
ICR 201712-1122-003
IC 12643
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1122-0005 can be found here:
2024-06-24 - Reinstatement without change of a previously approved collection
2021-01-26 - Extension without change of a currently approved collection
Documents and Forms
Document Name
Document Type
Form 1122-0005
Semi-annual Progress Report for Grants to Reduce Domestic Violence, Dating Violence, Sexual Assault and Stalking on Campus Program
Form
1122-0005 Semi annual Progress Report for Grants to Reduce Domesti
CampusFormGMSSample.pdf
www.gms.gov
Form
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Semi-annual Progress Report for Grants to Reduce Domestic Violence, Dating Violence, Sexual Assault and Stalking on Campus Program
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Unchanged
Obligation to Respond:
Required to Obtain or Retain Benefits
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form
1122-0005
Semi annual Progress Report for Grants to Reduce Domestic Violence, Dating Violence,
CampusFormGMSSample.pdf
www.gms.gov
Yes
Yes
Fillable Fileable Signable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Community and Social Services
Subfunction:
Social Services
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
100
Number of Respondents for Small Entity:
0
Affected Public:
Private Sector
Private Sector:
Not-for-profit institutions
Percentage of Respondents Reporting Electronically:
100 %
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
200
0
0
0
0
200
Annual IC Time Burden (Hours)
200
0
0
0
0
200
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
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.