Information Collection

Crime Victim Compensation State Certification Form

IC 12438 under ICR 201210-1121-001 · OMB 1121-0170.

Documents and Forms

Document Name Document Type
Form OJP-7390/5 Crime Victim Compensation State Certification Form Form
OJP-7390/5 Crime Victim Compensation State Certification Form vc_certification_form01_07.xls Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Crime Victim Compensation State Certification Form	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Removed

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	OJP-7390/5	Crime Victim Compensation State Certification Form	vc_certification_form01_07.xls		No		Paper Only

Line of Business: Income Security

Subfunction: Survivor Compensation

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 54	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

	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	0	0	0	0	0	0
Annual IC Time Burden (Hours)	0	0	0	0	0	0
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.