OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

International Terrorism Victim Expense Reimbursement Program Application

ICR 201003-1121-002 · OMB 1121-0309 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
International Terrorism Victim Expense Reimbursement Program Form New Available
6DocTheLaw1-Current December 2009.doc Supplementary Document Uploaded 2010-04-16 Available
3DocSupportingStatement-Current December 2009.doc Supporting Statement A Uploaded 2010-04-16 Available
IC Document Collections
IC IDCollectionTypeStatusForm
192597 International Terrorism Victim Expense Reimbursement Program Form New
12629 International Terrorism Victim Expense Reimbursement Program Application Instruction Removed
ICR Details
1121-0309 201003-1121-002
Historical Active 200702-1121-001
DOJ/OJP OVC
International Terrorism Victim Expense Reimbursement Program Application
Extension without change of a currently approved collection   No
Regular
Approved without change 05/28/2010
Retrieve Notice of Action (NOA) 04/19/2010
  Inventory as of this Action Requested Previously Approved
05/31/2013 36 Months From Approved 05/31/2010
2,000 0 2,000
1,500 0 1,500
6,000 0 6,000
The application is nesssary for victims/claimants to request reimbursement of funds. Collection of information is necessary to assist OVC staff to objectively, fairly, and equitably determine distribution of reimbursement of funds and account for allocation of funds. Respondent will include U.S. government employees and U.S. Nationals who become victims of international terrorism that occurs outside of the U.S.
US Code: 42 USC 10603c Name of Law: Victims of Crime Act of 1984
  
US Code: 42 USC 10603c Name of Law: Victims of Crime Act of 1984
Not associated with rulemaking
  75 FR 3758 01/22/2010
75 FR 14184 03/24/2010
No
  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 2,000 2,000 0 0 0 0
Annual Time Burden (Hours) 1,500 1,500 0 0 0 0
Annual Cost Burden (Dollars) 6,000 6,000 0 0 0 0
Yes
Miscellaneous Actions
Yes
Miscellaneous Actions
There is no change in the burden. This is an extension without change of an currently approved collection.
$21,849
No
No
No
Uncollected
No
Uncollected
Chandria Slaughter 202 514-5438
  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.
04/19/2010