OMB
.report
Search
Clinical Indicators of Sexual Violence in Custody
Clinical Indicators of Sexual Violence in Correctional Facilities Pilot Study
OMB: 1121-0324
IC ID: 192268
OMB.report
DOJ/OJP
OMB 1121-0324
ICR 201003-1121-003
IC 192268
( )
Documents and Forms
Document Name
Document Type
Clinical Indicators of Sexual Violence in Custody
Form
Clinical Indiators of Sexual Violence in Custody
Attachment 4. Final Data Collection Form Rev.doc
Form
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Clinical Indicators of Sexual Violence in Custody
Agency IC Tracking Number:
BJS
Is this a Common Form?
No
IC Status:
New
Obligation to Respond:
Voluntary
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form
None
Clinical Indiators of Sexual Violence in Custody
Attachment 4. Final Data Collection Form Rev.doc
Yes
No
Printable Only
Federal Enterprise Architecture Business Reference Module
Line of Business:
Correctional Activities
Subfunction:
Criminal Incarceration
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
35
Number of Respondents for Small Entity:
0
Affected Public:
State, Local, and Tribal Governments
Percentage of Respondents Reporting Electronically:
20 %
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
1,435
0
1,435
0
0
0
Annual IC Time Burden (Hours)
383
0
383
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.