Developing a Sexual Consent Norms Instrument

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form 28 Developing a Sexual Consent Norms Instrument - Confirmatory Survey of Early Adolescents	Form and Instruction	New	Repair queued
Form 27 Developing a Sexual Consent Norms Instrument - Confirmatory Survey of College Students	Form and Instruction	New	Repair queued
Form 29 Developing a Sexual Consent Norms Instrument - Confirmatory Survey of Late Adolescents	Form and Instruction	New	Repair queued
Form 28 Developing a Sexual Consent Norms Instrument - Early Adolescent Survey	Form and Instruction	New	Repair queued
Form 29 Developing a Sexual Consent Norms Instrument - Late Adolescent Survey	Form and Instruction	New	Repair queued
Form 27 Developing a Sexual Consent Norms Instrument - College Student Survey	Form and Instruction	New	Repair queued
Supporting Statement B.doc	Supporting Statement B	Uploaded 2011-02-14	Repair queued
Appendix 20_Phases 1 and 3 Adolescent Recruitment Flyer_revised 1_18.docx	Supplementary Document	Uploaded 2011-02-14	Repair queued
Appendix 19_Phases 1 and 3 College Student Recruitment Flyer.docx	Supplementary Document	Uploaded 2011-02-14	Repair queued
Appendix 18_Phase 1 Prevention Educator Recruitment Letter.docx	Supplementary Document	Uploaded 2011-02-14	Repair queued
Appendix 10_Phase 1 Adolescent Assent.docx	Supplementary Document	Uploaded 2011-02-14	Repair queued
Appendix 8_Phase 1 Parental Consent_revised 1_18.docx	Supplementary Document	Uploaded 2011-02-14	Repair queued
Appendix 6_Phase 1 College Student Informed Consent.docx	Supplementary Document	Uploaded 2011-02-14	Repair queued
Appendix 4_Phase 1 Prevention Educators Informed Consent_revised 1_18.docx	Supplementary Document	Uploaded 2011-02-14	Repair queued
Appendix 17_analysis plan.docx	Supplementary Document	Uploaded 2011-02-14	Repair queued
Appendix 3_Georgia State University IRB Approvals.docx	Supplementary Document	Uploaded 2011-02-14	Repair queued
Appendix 1_Public Health Services Act.docx	Supplementary Document	Uploaded 2011-02-14	Repair queued
Appendix 13_Phase 4 College Student Informed Consent.docx	Supplementary Document	Uploaded 2011-02-14	Repair queued
Appendix 21_Phases 2 and 5 College Student Recruitment Langage on SONA.docx	Supplementary Document	Uploaded 2011-02-14	Repair queued
Appendix 16_Phases 2 and 4 Adolescent Assent.docx	Supplementary Document	Uploaded 2011-02-14	Repair queued
Appendix 15_Phase 4 Parental Informed Consent_revised 1_21.docx	Supplementary Document	Uploaded 2011-02-14	Repair queued
Appendix 20_Phases 1 and 3 Adolescent Recruitment Flyer_revised 1_18.docx	Supplementary Document	Uploaded 2011-02-14	Repair queued
Appendix 19_Phases 1 and 3 College Student Recruitment Flyer.docx	Supplementary Document	Uploaded 2011-02-14	Repair queued
Appendix 11_Phase 3 Adolescent Assent.docx	Supplementary Document	Uploaded 2011-02-14	Repair queued
Appendix 14_Phase 2 Parental Informed Consent (2)_revised 1_21.docx	Supplementary Document	Uploaded 2011-02-14	Repair queued
Appendix 9_Phase 3 Parental Consent_revised 1_18.docx	Supplementary Document	Uploaded 2011-02-14	Repair queued
Appendix 7_Phase 3 College Student Informed Consent.docx	Supplementary Document	Uploaded 2011-02-14	Repair queued
Appendix 21_Phases 2 and 5 College Student Recruitment Langage on SONA.docx	Supplementary Document	Uploaded 2011-02-14	Repair queued
Appendix 16_Phases 2 and 4 Adolescent Assent.docx	Supplementary Document	Uploaded 2011-02-14	Repair queued
Appendix 12_Phase 2 College Student Informed Consent.docx	Supplementary Document	Uploaded 2011-02-14	Repair queued
Appendix 14_Phase 2 Parental Informed Consent (2)_revised 1_21.docx	Supplementary Document	Uploaded 2011-02-14	Repair queued
Appendix 21_Phases 2 and 5 College Student Recruitment Langage on SONA.docx	Supplementary Document	Uploaded 2011-02-14	Repair queued
Appendix 16_Phases 2 and 4 Adolescent Assent.docx	Supplementary Document	Uploaded 2011-02-14	Repair queued
Appendix 15_Phase 4 Parental Informed Consent_revised 1_21.docx	Supplementary Document	Uploaded 2011-02-14	Repair queued
Appendix 20_Phases 1 and 3 Adolescent Recruitment Flyer_revised 1_18.docx	Supplementary Document	Uploaded 2011-02-14	Repair queued
Appendix 19_Phases 1 and 3 College Student Recruitment Flyer.docx	Supplementary Document	Uploaded 2011-02-14	Repair queued
Appendix 11_Phase 3 Adolescent Assent.docx	Supplementary Document	Uploaded 2011-02-14	Repair queued
Appendix 14_Phase 2 Parental Informed Consent (2)_revised 1_21.docx	Supplementary Document	Uploaded 2011-02-14	Repair queued
Appendix 9_Phase 3 Parental Consent_revised 1_18.docx	Supplementary Document	Uploaded 2011-02-14	Repair queued
Appendix 7_Phase 3 College Student Informed Consent.docx	Supplementary Document	Uploaded 2011-02-14	Repair queued
Appendix 21_Phases 2 and 5 College Student Recruitment Langage on SONA.docx	Supplementary Document	Uploaded 2011-02-14	Repair queued
Appendix 16_Phases 2 and 4 Adolescent Assent.docx	Supplementary Document	Uploaded 2011-02-14	Repair queued
Appendix 12_Phase 2 College Student Informed Consent.docx	Supplementary Document	Uploaded 2011-02-14	Repair queued
Appendix 14_Phase 2 Parental Informed Consent (2)_revised 1_21.docx	Supplementary Document	Uploaded 2011-02-14	Repair queued
Appendix 21_Phases 2 and 5 College Student Recruitment Langage on SONA.docx	Supplementary Document	Uploaded 2011-02-14	Repair queued
Appendix 16_Phases 2 and 4 Adolescent Assent.docx	Supplementary Document	Uploaded 2011-02-14	Repair queued
Appendix 15_Phase 4 Parental Informed Consent_revised 1_21.docx	Supplementary Document	Uploaded 2011-02-14	Repair queued
Appendix 20_Phases 1 and 3 Adolescent Recruitment Flyer_revised 1_18.docx	Supplementary Document	Uploaded 2011-02-14	Repair queued
Appendix 19_Phases 1 and 3 College Student Recruitment Flyer.docx	Supplementary Document	Uploaded 2011-02-14	Repair queued
Appendix 11_Phase 3 Adolescent Assent.docx	Supplementary Document	Uploaded 2011-02-14	Repair queued
Appendix 14_Phase 2 Parental Informed Consent (2)_revised 1_21.docx	Supplementary Document	Uploaded 2011-02-14	Repair queued
Appendix 9_Phase 3 Parental Consent_revised 1_18.docx	Supplementary Document	Uploaded 2011-02-14	Repair queued
Appendix 7_Phase 3 College Student Informed Consent.docx	Supplementary Document	Uploaded 2011-02-14	Repair queued
Appendix 21_Phases 2 and 5 College Student Recruitment Langage on SONA.docx	Supplementary Document	Uploaded 2011-02-14	Repair queued
Appendix 16_Phases 2 and 4 Adolescent Assent.docx	Supplementary Document	Uploaded 2011-02-14	Repair queued
Appendix 12_Phase 2 College Student Informed Consent.docx	Supplementary Document	Uploaded 2011-02-14	Repair queued
Appendix 14_Phase 2 Parental Informed Consent (2)_revised 1_21.docx	Supplementary Document	Uploaded 2011-02-14	Repair queued
Appendix 20_Phases 1 and 3 Adolescent Recruitment Flyer_revised 1_18.docx	Supplementary Document	Uploaded 2011-02-14	Repair queued
Appendix 19_Phases 1 and 3 College Student Recruitment Flyer.docx	Supplementary Document	Uploaded 2011-02-14	Repair queued
Appendix 11_Phase 3 Adolescent Assent.docx	Supplementary Document	Uploaded 2011-02-14	Repair queued
Appendix 14_Phase 2 Parental Informed Consent (2)_revised 1_21.docx	Supplementary Document	Uploaded 2011-02-14	Repair queued
Appendix 9_Phase 3 Parental Consent_revised 1_18.docx	Supplementary Document	Uploaded 2011-02-14	Repair queued
Appendix 7_Phase 3 College Student Informed Consent.docx	Supplementary Document	Uploaded 2011-02-14	Repair queued
Appendix 21_Phases 2 and 5 College Student Recruitment Langage on SONA.docx	Supplementary Document	Uploaded 2011-02-14	Repair queued
Appendix 16_Phases 2 and 4 Adolescent Assent.docx	Supplementary Document	Uploaded 2011-02-14	Repair queued
Appendix 12_Phase 2 College Student Informed Consent.docx	Supplementary Document	Uploaded 2011-02-14	Repair queued
Appendix 14_Phase 2 Parental Informed Consent (2)_revised 1_21.docx	Supplementary Document	Uploaded 2011-02-14	Repair queued
Appendix 21_Phases 2 and 5 College Student Recruitment Langage on SONA.docx	Supplementary Document	Uploaded 2011-02-14	Repair queued
Appendix 16_Phases 2 and 4 Adolescent Assent.docx	Supplementary Document	Uploaded 2011-02-14	Repair queued
Appendix 12_Phase 2 College Student Informed Consent.docx	Supplementary Document	Uploaded 2011-02-14	Repair queued
Appendix 14_Phase 2 Parental Informed Consent (2)_revised 1_21.docx	Supplementary Document	Uploaded 2011-02-14	Repair queued
Appendix 21_Phases 2 and 5 College Student Recruitment Langage on SONA.docx	Supplementary Document	Uploaded 2011-02-14	Repair queued
Appendix 16_Phases 2 and 4 Adolescent Assent.docx	Supplementary Document	Uploaded 2011-02-14	Repair queued
Appendix 12_Phase 2 College Student Informed Consent.docx	Supplementary Document	Uploaded 2011-02-14	Repair queued
Appendix 14_Phase 2 Parental Informed Consent (2)_revised 1_21.docx	Supplementary Document	Uploaded 2011-02-14	Repair queued
Appendix 21_Phases 2 and 5 College Student Recruitment Langage on SONA.docx	Supplementary Document	Uploaded 2011-02-14	Repair queued
Appendix 16_Phases 2 and 4 Adolescent Assent.docx	Supplementary Document	Uploaded 2011-02-14	Repair queued
Appendix 12_Phase 2 College Student Informed Consent.docx	Supplementary Document	Uploaded 2011-02-14	Repair queued
Appendix 14_Phase 2 Parental Informed Consent (2)_revised 1_21.docx	Supplementary Document	Uploaded 2011-02-14	Repair queued
Appendix 21_Phases 2 and 5 College Student Recruitment Langage on SONA.docx	Supplementary Document	Uploaded 2011-02-14	Repair queued
Appendix 14_Phase 2 Parental Informed Consent (2)_revised 1_21.docx	Supplementary Document	Uploaded 2011-02-14	Repair queued
Appendix 16_Phases 2 and 4 Adolescent Assent.docx	Supplementary Document	Uploaded 2011-02-14	Repair queued
Appendix 12_Phase 2 College Student Informed Consent.docx	Supplementary Document	Uploaded 2011-02-14	Repair queued
Supporting Statement A 1-24-2011.doc	Supporting Statement A	Uploaded 2011-02-14	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
196369	Developing a Sexual Consent Norms Instrument - Focus Group of Late Adolescents	Other-Focus Group Format	New
196368	Developing a Sexual Consent Norms Instrument - Confirmatory Survey of Early Adolescents	Form and Instruction	New
196367	Developing a Sexual Consent Norms Instrument - Confirmatory Survey of College Students	Form and Instruction	New
196366	Developing a Sexual Consent Norms Instrument - Follow Up Focus Group of Prevention Educators	Other-Follow up Focus Group Prevention Educator format	New
196365	Developing a Sexual Consent Norms Instrument - Follow Up Focus Group of College Students	Other-Follow up Focus Group of College Students	New
196364	Developing a Sexual Consent Norms Instrument - Follow Up Focus Group of Late Adolescents	Other-Followup Focus Group Format	New
196363	Developing a Sexual Consent Norms Instrument - Follow Up Focus Group of Early Adolescents	Other-Focus Group Protocol	New
196362	Developing a Sexual Consent Norms Instrument - Confirmatory Survey of Late Adolescents	Form and Instruction	New
196361	Developing a Sexual Consent Norms Instrument - Early Adolescent Survey	Form and Instruction	New
196360	Developing a Sexual Consent Norms Instrument - Late Adolescent Survey	Form and Instruction	New
196359	Developing a Sexual Consent Norms Instrument - College Student Survey	Form and Instruction	New
196358	Developing a Sexual Consent Norms Instrument - Focus Group of Early Adolescents	Other-Focus Group Protocol	New
196357	Developing a Sexual Consent Norms Instrument - Focus Group of College Students	Other-Focus Group format	New
196356	Developing a Sexual Consent Norms Instrument - Focus Group of Prevention Educators	Other-focus group format	New

ICR Details

OMB Control No:	ICR Reference No: 201102-0920-015
Status: Historical Inactive	Previous ICR Reference No:
Agency/Subagency: HHS/CDC	Agency Tracking No:
Title: Developing a Sexual Consent Norms Instrument
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Withdrawn	Conclusion Date: 06/17/2011
	Date Received in OIRA: 02/24/2011
Terms of Clearance: The ICR has been withdrawn to allow time for revisions and resubmission.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date		24 Months From Approved
Responses	0	0	0
Time Burden (Hours)	0	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: Sexual violence is a significant public health problem in the United States. Estimates from the National Violence Against Women Survey (NVAWS), cosponsored by the National Institute of Justice and Centers for Disease Control and Prevention (CDC), suggest that 302,091 women and 92,748 men are raped each year. The survey also estimates that 1 in 6 women and 1 in 33 men have been victims of a completed or attempted rape at some point in their lifetime. However, available data greatly underestimate the true magnitude of the problem. Rape is one of the most underreported crimes. In 2002, only 39% of rapes and sexual assaults were reported to law enforcement officials (DOJ, 2003). More than half of all lifetime rapes happen before age 18; almost one-third of rapes occur before age 12. In approximately 8 out of 10 cases (83%), the victim knew the perpetrator. Sexual violence is most often committed by someone known to the victim such as a spouse, family member, co-worker, friend, or acquaintance (Tjaden & Thoennes, 2006). Consistent with Healthy People 2010 and the proposed objectives for Healthy People 2020, this kind of victimization must be prevented.

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Authorizing Statute(s): US Code: 42 USC 241 Name of Law: Research and Investigations Generally
  

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:
	75 FR 37449	06/29/2010
30-day Notice:	Federal Register Citation:	Citation Date:
	76 FR 5377	01/31/2011
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 14

table that charts list of burden

IC Title	Form No.	Form Name
Developing a Sexual Consent Norms Instrument - Focus Group of Prevention Educators
Developing a Sexual Consent Norms Instrument - Focus Group of College Students
Developing a Sexual Consent Norms Instrument - Focus Group of Early Adolescents
Developing a Sexual Consent Norms Instrument - Confirmatory Survey of Late Adolescents	29	Late Adolescent Survey
Developing a Sexual Consent Norms Instrument - Follow Up Focus Group of Early Adolescents
Developing a Sexual Consent Norms Instrument - College Student Survey	27	Developing a Sexual Consent Norms Instrument - College Student Survey
Developing a Sexual Consent Norms Instrument - Late Adolescent Survey	29	Late Adolescent Survey
Developing a Sexual Consent Norms Instrument - Early Adolescent Survey	28	Early Adolescent Survey
Developing a Sexual Consent Norms Instrument - Follow Up Focus Group of Late Adolescents
Developing a Sexual Consent Norms Instrument - Follow Up Focus Group of College Students
Developing a Sexual Consent Norms Instrument - Follow Up Focus Group of Prevention Educators
Developing a Sexual Consent Norms Instrument - Confirmatory Survey of College Students	27	Developing a Sexual Consent Norms Instrument - College Student Survey
Developing a Sexual Consent Norms Instrument - Confirmatory Survey of Early Adolescents	28	Early Adolescent Survey
Developing a Sexual Consent Norms Instrument - Focus Group of Late Adolescents

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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: No

Burden Reduction Due to:

Short Statement: This is a request for new ICR.

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Annual Cost to Federal Government: $102,750

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]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

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: 02/24/2011

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