Survey on Sexual Violence

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form SSV-IJ Survey on Sexual Violence - Incident Form (Juvenile)	Form	Modified	Available
Form SSV-IA Survey on Sexual Violence - Incident Form (Adults)	Form	Modified	Repair queued
Form SSV-6 Survey on Sexual Violence - Locally or Privately-Operated Juvenile Facilities	Form	Modified	Available
Form SSV-5 Survey on Sexual Violence	Form	Modified	Available
Form SSV-4 Survey on Sexual Violence - Other Correctiona Facilities	Form	Modified	Available
Form SSV-3 Survey on Sexual Violence - Local Jail Jurisdictions	Form	Modified	Available
Form SSV-2 Survey on Sexual Violence - State Prison Systems	Form	Modified	Available
Form SSV-1 Survey on Sexual Violence - Federal Bureau of Prisons	Form	Modified	Available
SSV2 2007 mailout_letter.doc	Supplementary Document	Uploaded 2008-02-22	Available
SSVTable1.xls	Supplementary Document	Uploaded 2008-02-22	Available
SSVTable2.xls	Supplementary Document	Uploaded 2008-02-22	Available
OMB_Questions_SSV.doc	Supplementary Document	Uploaded 2008-02-22	Available
Public Law 108-79.pdf	Supplementary Document	Uploaded 2007-12-19	Available
updatesuppssv B.doc	Supporting Statement B	Uploaded 2008-02-22	Available
UpdatedSuppSSV A.doc	Supporting Statement A	Uploaded 2008-02-22	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
12623	Survey on Sexual Violence	Form	Modified	Survey on Sexual Violence - Incident Form (Juvenile)
12623	Survey on Sexual Violence	Form	Modified	Survey on Sexual Violence - Incident Form (Adults)
12623	Survey on Sexual Violence	Form	Modified	Survey on Sexual Violence - Locally or Privately-Operated Juvenile Facilities
12623	Survey on Sexual Violence	Form	Modified	Survey on Sexual Violence
12623	Survey on Sexual Violence	Form	Modified	Survey on Sexual Violence - Other Correctiona Facilities
12623	Survey on Sexual Violence	Form	Modified	Survey on Sexual Violence - Local Jail Jurisdictions
12623	Survey on Sexual Violence	Form	Modified	Survey on Sexual Violence - State Prison Systems
12623	Survey on Sexual Violence	Form	Modified	Survey on Sexual Violence - Federal Bureau of Prisons

ICR Details

OMB Control No: 1121-0292	ICR Reference No: 200712-1121-002
Status: Historical Active	Previous ICR Reference No: 200410-1121-002
Agency/Subagency: DOJ/OJP	Agency Tracking No: BJS
Title: Survey on Sexual Violence
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 02/25/2008
Retrieve Notice of Action (NOA)	Date Received in OIRA: 12/20/2007
Terms of Clearance: As with the previous terms of clearance, BJS should continue to submit all materials prior to fielding and monitor and evaluate data quality.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	02/28/2011	36 Months From Approved	02/29/2008
Responses	761	0	761
Time Burden (Hours)	1,150	0	1,522
Cost Burden (Dollars)	0	0	0

---

Abstract: The National Prison Rape Statistics Program (NPRSP) is a collection mandated by Congress in the Prison Rape Elimination Act of 2003. The Survey on Sexual Violence (SSV), one part of the NPRSP, is the only national data collection for administrative information on sexual assaults within correctional facilities, characteristics of the victims and perpetrators, circumstances surrounding the incidents, and how incidents are reported, tracked, and adjudicated.

---

Authorizing Statute(s): PL: Pub.L. 108 - 79 15601 Name of Law: Prison Rape Elimination Act of 2008
  

Citations for New Statutory Requirements: None

---

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	72 FR 57962	10/11/2007
30-day Notice:	Federal Register Citation:	Citation Date:
	72 FR 71434	12/17/2007
Did the Agency receive public comments on this ICR? No

---

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

table that charts list of burden

IC Title	Form No.	Form Name
Survey on Sexual Violence	SSV-3, SSV-5, SSV-IJ, SSV-1, SSV-6, SSV-IA, SSV-2, SSV-4	Survey on Sexual Violence - Federal Bureau of Prisons ,   Survey on Sexual Violence - State Prison Systems ,   Survey on Sexual Violence - Local Jail Jurisdictions ,   Survey on Sexual Violence - Other Correctiona Facilities ,   Survey on Sexual Violence ,   Survey on Sexual Violence - Locally or Privately-Operated Juvenile Facilities ,   Survey on Sexual Violence - Incident Form (Adults) ,   Survey on Sexual Violence - Incident Form (Juvenile)

---

ICR Summary of Burden

table that charts list of burden

	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	761	761	0	0	0	0
Annual Time Burden (Hours)	1,150	1,522	0	-372	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

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: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: The current respondent burden is listed as 1,522 hours. However, due to a change in sample the burden has been decreased to 1,150 hours, a decrease of 372 hours.

---

Annual Cost to Federal Government: $577,826

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

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

---

Common Form ICR:  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:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(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;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

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.

Certification Date: 12/20/2007

---