United States Victims of State Sponsored Terrorism Fund Application

ICR 201910-1123-001

OMB: 1123-0013

Federal Form Document

Forms and Documents
Document
Name
Status
Form and Instruction
Modified
Supplementary Document
2019-11-29
Supplementary Document
2019-10-16
Supplementary Document
2016-10-20
Supplementary Document
2016-10-20
Supplementary Document
2016-10-20
Supplementary Document
2016-10-20
Supplementary Document
2016-10-20
Supplementary Document
2016-10-20
Supplementary Document
2016-10-20
Supplementary Document
2016-10-20
Supplementary Document
2016-10-20
Supplementary Document
2016-10-20
Supplementary Document
2016-10-20
Supplementary Document
2016-10-20
Supplementary Document
2016-10-20
Supporting Statement A
2016-10-18
Supplementary Document
2016-07-08
IC Document Collections
IC ID
Document
Title
Status
222379 Modified
ICR Details
1123-0013 201910-1123-001
Active 201610-1123-001
DOJ/CD 1123-0013
United States Victims of State Sponsored Terrorism Fund Application
Extension without change of a currently approved collection   No
Regular
Approved without change 12/19/2019
Retrieve Notice of Action (NOA) 10/16/2019
  Inventory as of this Action Requested Previously Approved
12/31/2022 36 Months From Approved 12/31/2019
700 0 700
1,400 0 1,400
0 0 0

The United States Victims of State Sponsored Terrorism Fund (Fund) provides compensation to certain individuals who were injured as a result of an international act of terrorism by a state sponsor of terrorism. The Justice for United Victims of State Sponsored Terrorism Act sets forth criteria for eligibility under the Fund, such as a final judgment issued against a state sponsor of terrorism. The Fund Application From requests information to determine eligibility and amount of compensation.

US Code: 42 USC 10609 Name of Law: Justice for United States Victims of State Sponsored Terrorism Act
  
US Code: 42 USC 10609(b)(2)(B) Name of Law: Justice for United States Victims of State Sponsored Terrorism Act
US Code: 42 USC 10609(c)(3)(A) Name of Law: Justice for United States Victims of State Sponsored Terrorism Act
US Code: 42 USC 10609(d)(2) Name of Law: Justice for United States Victims of State Sponsored Terrorism Act
US Code: 42 USC 10609(b)(4)(A) Name of Law: Justice for United States Victims of State Sponsored Terrorism Act

Not associated with rulemaking

  84 FR 34946 07/19/2019
84 FR 51620 09/30/2019
No

1
IC Title Form No. Form Name
USVSST Application 1123-0013 USVSST Application

  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 700 700 0 0 0 0
Annual Time Burden (Hours) 1,400 1,400 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

No
    Yes
    Yes
No
No
No
Uncollected
Alice Dery 202 514-1263

  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:
 
 
 
 
 
 
 
    (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;
 
 
 
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.
10/16/2019


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