International Terrorism Victim Expense Reimbursement Program Application

ICR 200702-1121-001 · OMB 1121-0309 · Historical Active

⚠️ Notice: This information collection may be outdated. More recent filings for OMB 1121-0309 can be found here:

Forms and Documents

Document	Type	Status	Availability
ITVERP US Code.wpd	Supplementary Document	Uploaded 2006-03-15	Available
ITVERP Revised final supporting statement.doc	Supporting Statement A	Uploaded 0000-00-00	Available

IC Document Collections

IC ID	Collection	Type	Status	Form
12629	International Terrorism Victim Expense Reimbursement Program Application	Instruction	Modified

ICR Details

OMB Control No: 1121-0309	ICR Reference No: 200702-1121-001
Status: Historical Active	Previous ICR Reference No: 200608-1121-005
Agency/Subagency: DOJ/OJP	Agency Tracking No:
Title: International Terrorism Victim Expense Reimbursement Program Application
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: 04/10/2007
Retrieve Notice of Action (NOA)	Date Received in OIRA: 02/21/2007
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	04/30/2010	36 Months From Approved	04/30/2007
Responses	2,000	0	2,000
Time Burden (Hours)	1,500	0	1,500
Cost Burden (Dollars)	6,000	0	6,000

Abstract: This application will be used to apply for monetary compensation by U.S. nationals and U.S. government employees who become victims of acts of international terrorism that occur(red) outside the United States. The application will be used to collect necessary information on expenses incurred by the applicant, as associated with their victimization, as well as other pertinent information, and will be used by OVC to make an award determination.

Authorizing Statute(s): US Code: 42 USC 10603c Name of Law: Victims of Crime Act of 1984

Citations for New Statutory Requirements: US Code: 42 USC 10603c Name of Law: Victims of Crime Act of 1984

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
1121-AA63	Final or interim final rulemaking	71 FR 52446	09/06/2006

Federal Register Notices & Comments
Did the Agency receive public comments on this ICR? Yes

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

IC Title	Form No.	Form Name
International Terrorism Victim Expense Reimbursement Program Application	None	International Terrorism Victim Expense Reimbursement Program Application

ICR Summary of Burden

	Total Approved	Previously Approved
Annual Number of Responses	2,000	2,000
Annual Time Burden (Hours)	1,500	1,500
Annual Cost Burden (Dollars)	6,000	6,000

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:

Annual Cost to Federal Government: $48,958,850

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)? Uncollected

Is this ICR related to the Pandemic Response? Uncollected

Agency Contact: Barbara Walker 202 305-1696

Common Form ICR: No