Description of Changes

Description of Changes to OMB Survey: 0920-0796

	Modified Survey		Requested Change
	Page #	Question #
	1	0.3	Question added (from NISVSS) to clarify response to Q0.2
	2	0.6 – 0.10	Questions added as a result of consultation with our AI/AN partner organization to clarify respondent’s living conditions.
	2	0.7	Question added as a result of consultation with our AI/AN partner organization.
	5	Intro	Introductory sentence added to explain the general content of the questions in this section.
	6	1.8 – 1.10	Questions added (from NISVSS) to assess less severe health issues.
	6	1.12	Question added as a result of consultation with our AI/AN partner organization to clarify response to Q1.11.
	6	1.14	Question added as a result of consultation with our AI/AN partner organization to clarify response to Q1.13.
	6	1.15	Question added as a result of consultation with our AI/AN partner organization to assess ability to pay for needed services.
	7	1.16 – 1.19	Questions added as a result of consultation with our AI/AN partner organization to assess social support.
	9	2.6	Question added (from NISVSS) to capture other forms of harassment not assessed in Section 2
	10	3.3	Question added (from NISVSS) to assess an additional type of unwanted sexual contact
12		Intro	An introductory paragraph was added to explain the content of Q4.7 – Q4.12
18		5.4	Question added as a result of consultation with our AI/AN partner organization
24		5.30	Question added (from NISVSS) to assess mis-use of authority as an SV tactic.
25		5.39 – 5.43	Questions added (from NISVSS) to clarify the response to Q5.38.
26		5.45 – 5.46	Questions added as a result of consultation with our AI/AN partner organization to assess respondent’s ability to access services.
26 – 27		5.50 – 5.51	Questions added as a result of consultation with our AI/AN partner organization to assess respondent’s ability to access services.
27		5.52 – 5.55	Questions added as a result of consultation with our AI/AN partner organization to assess vulnerability after the first SV experience.
28		5.60	Question added as a result of consultation with our AI/AN partner organization.
29		5.62, 5.63, 5.65, 5.66	Questions added (from NISVSS) as a result of consultation with our AI/AN partner organization to assess additional services respondent may have needed
29		5.67 – 5.68	Questions added as a result of consultation with our AI/AN partner organization to assess respondent’s ability to access services.
30		Intro	Introductory paragraph added to clarify the purpose of Section 6
31		6.4	Question added as a result of consultation with our AI/AN partner organization.

Modified Survey		Requested Change
Page #	Question #
34	Intro	Introductory sentence added to clarify the content of Q6.17 to Q6.20; for Q6.17, Q6.18, & Q6.20 to Q6.23, the words “just before” were changed to “prior to.”
36	Intro	Introductory paragraph added to explain the content of Q6.24 to Q6.32
37	6.30	Question added (from NISVSS) to asses mis-use of authority as an SV tactic.
38	6.39 – 6.43	Questions added (from NISVSS) to clarify the response to Q6.38.
39	6.45 – 6.46	Questions added as a result of consultation with our AI/AN partner organization to assess respondent’s ability to access services.
39 – 40	6.50 – 6.51	Questions added as a result of consultation with our AI/AN partner organization to assess respondents’ ability to access services.
40	6.52 – 6.55	Questions added as a result of consultation with our AI/AN partner organization to assess vulnerability after most recent SV experience
41	6.60	Question added as a result of consultation with our AI/AN partner organization.
41-42	6.62, 6.63, 6.65, 6.66	Questions added as a result of consultation with our AI/AN partner organization to assess additional services respondent may have needed.
42	6.67 – 6.68	Questions added as a result of consultation with our AI/AN partner organization to assess respondent’s ability to access services.
43	7.1 – 7.2	Questions added as a result of consultation with our AI/AN partner organization to assess general stress.
44	7.12	Question added (from NISVSS) in lieu of Q7.10 to Q7.15 on the original survey
44	7.13	Questions added (from NISVSS)