OMB
.report
Search
OVC Victim Compensation State Certification form
Community Partnership Grants Management System (GMS)
OMB: 1121-0243
IC ID: 220839
OMB.report
DOJ/OJP
OMB 1121-0243
ICR 202110-1121-002
IC 220839
( )
Documents and Forms
Document Name
Document Type
OVC Victim Compensation State Certification form
Form
OVC Victi Compensation State Certification form
OVC Victim Compensation.pdf
www.ojp.gov/gmscbt/
Form
OVC Victi Compensation State Certification form
OVC Victim Compensation.pdf
www.ojp.gov/gmscbt/
Form
Crime Victim Copensation State Certification Form
crime victim compensation state certification form.pdf
www.ojp.gov/gmscbt
Form
Crime Victim Copensation State Certification Form
crime victim compensation state certification form.pdf
www.ojp.gov/gmscbt
Form
Justification for change on OVC Victim Compensation State Certification form 1121.docx
Justification
IC Document
Justification for change on OVC Victim Compensation State Certification form 1121.docx
Justification
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
OVC Victim Compensation State Certification form
Agency IC Tracking Number:
OAAM
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
none
OVC Victi Compensation State Certification form
OVC Victim Compensation.pdf
http://www.ojp.gov/gmscbt/
Yes
Yes
Fillable Fileable
Form
n/a
Crime Victim Copensation State Certification Form
crime victim compensation state certification form.pdf
http://www.ojp.gov/gmscbt
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
General Government
Subfunction:
Central Fiscal Operations
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
53
Number of Respondents for Small Entity:
0
Affected Public:
State, Local, and Tribal Governments
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
53
0
0
0
0
53
Annual IC Time Burden (Hours)
53
0
0
0
0
53
Annual IC Cost Burden (Dollars)
4,738
0
0
0
0
4,738
Documents for IC
Title
Document
Date Uploaded
Justification
Justification for change on OVC Victim Compensation State Certification form 1121.docx
03/23/2017
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.