Information Collection

Survey on Sexual Violence

IC 12623 under ICR 200410-1121-002 · OMB 1121-0292.

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Documents and Forms

Documents and forms in this information collection
Document Name	Document Type

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IC Title:

Survey on Sexual Violence

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Migrated

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Available Electronically?	Can Be Submitted Electronically?
Form	SSV2	No	No
Form	SSV4	No	No
Form	SSV3	No	No
Form	SSV1	No	No
Form	SSV5	No	No
Form	SSV6	No	No

Line of Business:

Subfunction:

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 761

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	761	761
Annual IC Time Burden (Hours)	1,522	1,522
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.