Clinical Indicators of Sexual Violence in Correctional Facilities Pilot Study

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Clinical Indicators of Sexual Violence in Custody	Form	New	Available
Clinical Indicators of Sexual Violence in Correctional Facilities Pilot Study	Form	Modified	Available
Responses to OMB questions (2).docx	Supplementary Document	Uploaded 2010-03-31	Available
Attachment 4. Final Data Collection Form Rev.doc	Supplementary Document	Uploaded 2010-03-31	Available
Attachment 8. CISVC Implementer Training Agenda.doc	Supplementary Document	Uploaded 2010-03-22	Available
Attachment 9. Reporter Instructions.doc	Supplementary Document	Uploaded 2010-03-22	Available
Attachment 11. Self-Learning Training PowerPoint.ppt	Supplementary Document	Uploaded 2010-03-22	Available
Attachment 12. Standard Operating Procedures.doc	Supplementary Document	Uploaded 2010-03-22	Available
Attachment 10 Frequently Asked Questions.doc	Supplementary Document	Uploaded 2010-03-22	Available
83c-fill.pdf	Supplementary Document	Uploaded 2010-03-12	Available
Clinical Indicators of Sexual Victim Memo.pdf	Justification for No Material/Nonsubstantive Change	Uploaded 2010-03-12	Available
Attachment 10. References.doc	Supplementary Document	Uploaded 2009-04-17	Available
Attachment 5. Assurance of Confidentiality.doc	Supplementary Document	Uploaded 2008-12-19	Available
Attachment 6 CDC IRB.pdf	Supplementary Document	Uploaded 2008-12-19	Available
Attachment 4.Title 42.doc	Supplementary Document	Uploaded 2008-12-19	Available
Attachment 2 CDC Authority.pdf	Supplementary Document	Uploaded 2008-12-19	Available
Attachment 1 Public Law 108-79.pdf	Supplementary Document	Uploaded 2008-12-19	Available
CISVC Support Statement Part B Rev.docx	Supporting Statement B	Uploaded 2010-03-22	Available
CISVC Supp statement Part A Rev.doc	Supporting Statement A	Uploaded 2010-03-22	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
192268	Clinical Indicators of Sexual Violence in Custody	Form	New
187042	Clinical Indicators of Sexual Violence in Correctional Facilities Pilot Study	Form	Modified

ICR Details

OMB Control No: 1121-0324	ICR Reference No: 201003-1121-003
Status: Historical Active	Previous ICR Reference No: 200810-1121-001
Agency/Subagency: DOJ/OJP	Agency Tracking No: BJS
Title: Clinical Indicators of Sexual Violence in Correctional Facilities Pilot Study
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 03/31/2010
	Date Received in OIRA: 03/23/2010
Terms of Clearance: OMB looks forward to receiving the results of this feasibility study prior to or in concert with a submission for a pilot study or any future efforts to conduct passive medical surveillance under the PREA program.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	05/31/2011	05/31/2011	05/31/2011
Responses	2,870	0	1,435
Time Burden (Hours)	383	0	383
Cost Burden (Dollars)	0	0	0

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Abstract: The National Prison Rape Statistics Program is a collection mandated by Congress in the Prison Rape Elimination Act of 2003. The purpose of the Clinical Indicators of Sexual Violence in Correctional Facilities Pilot Study is to develop a passive surveillance system to strengthen the national capacity to monitor sexual violence in correctional settings. The system will be the only national source of surveillance data for clinical indicators of sexual violence among inmates.

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Authorizing Statute(s): PL: Pub.L. 108 - 79 2 Name of Law: Prison Rape Elimination Act of 2003
  

Citations for New Statutory Requirements: None

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

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	73 FR 55133	09/24/2008
30-day Notice:	Federal Register Citation:	Citation Date:
	73 FR 72838	12/01/2008
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 2

table that charts list of burden

IC Title	Form No.	Form Name
Clinical Indicators of Sexual Violence in Correctional Facilities Pilot Study	None	Clinical Indicators of Sexual Violence in Custody
Clinical Indicators of Sexual Violence in Custody	None	Clinical Indiators of Sexual Violence in Custody

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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	2,870	1,435	0	1,435	0	0
Annual Time Burden (Hours)	383	383	0	0	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: This is a new collection that adds a burden to OJP's inventory. The is no change to the burden hours, but the data collection instrument has been revised to reflect input from the respondents.

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Annual Cost to Federal Government: $296,670

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)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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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: 03/23/2010

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