Survey on Sexual Violence

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form SSV IJ SSV Incident Form Juveniles	Form	Modified	Available
Form SSV IA SSV Incident Form Adult	Form	Modified	Available
Form SSV-6 SSV Locally or Privately-Operated Juvenile Facilities Summary Form	Form	Modified	Available
Form SSV-5 SSV State Juvenile Systems Summary Form	Form	Modified	Available
Form SSV-4 SSV Other Correctional Facilities Summary Form	Form	Modified	Available
Form SSV-3 SSV Local Jail Jurisdictions Summary Form	Form	Modified	Available
Form SSV-2 SSV State Prison Systems Summary Form	Form	Modified	Available
Form SSV-1 SSV Federal Bureau of Prisons Summary Form	Form	Modified	Available
Attachment 6 - NR Follow-up Revised.pdf	Supplementary Document	Uploaded 2011-05-19	Available
Attachment 5 - Survey Request Revised.pdf	Supplementary Document	Uploaded 2011-05-19	Available
SSV - Supporting Statement Part A Rev..doc	Supporting Statement A	Uploaded 2011-03-01	Available
SSV Login Screen.JPG	Supplementary Document	Uploaded 2011-03-01	Available
SSV Supporting Statement Part B.doc	Supporting Statement B	Uploaded 2011-03-01	Available
Attachment 6 - NR Follow-up.pdf	Supplementary Document	Uploaded 2011-03-01	Available
Attachment 5 - Survey Request.pdf	Supplementary Document	Uploaded 2011-05-19	Available
Attachment 3 - SSV 2009 Sampling Design.pdf	Supplementary Document	Uploaded 2011-03-01	Available
Attachment 4 - Statutory Authority.pdf	Supplementary Document	Uploaded 2011-03-01	Available
Public Law 108-79.pdf	Supplementary Document	Uploaded 2007-12-19	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
12623	Survey on Sexual Violence	Form	Modified	SSV Incident Form Juveniles
12623	Survey on Sexual Violence	Form	Modified	SSV Incident Form Adult
12623	Survey on Sexual Violence	Form	Modified	SSV Locally or Privately-Operated Juvenile Facilities Summary Form
12623	Survey on Sexual Violence	Form	Modified	SSV State Juvenile Systems Summary Form
12623	Survey on Sexual Violence	Form	Modified	SSV Other Correctional Facilities Summary Form
12623	Survey on Sexual Violence	Form	Modified	SSV Local Jail Jurisdictions Summary Form
12623	Survey on Sexual Violence	Form	Modified	SSV State Prison Systems Summary Form
12623	Survey on Sexual Violence	Form	Modified	SSV Federal Bureau of Prisons Summary Form

ICR Details

OMB Control No: 1121-0292	ICR Reference No: 201103-1121-001
Status: Historical Active	Previous ICR Reference No: 200712-1121-002
Agency/Subagency: DOJ/OJP	Agency Tracking No: BJS
Title: Survey on Sexual Violence
Type of Information Collection: Reinstatement with change of a previously approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 05/20/2011
Retrieve Notice of Action (NOA)	Date Received in OIRA: 03/17/2011
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	05/31/2014	36 Months From Approved
Responses	1,481	0	0
Time Burden (Hours)	992	0	0
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:
	75 FR 70030	11/16/2010
30-day Notice:	Federal Register Citation:	Citation Date:
	76 FR 8774	02/15/2011
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-1, SSV-2, SSV-3, SSV-4, SSV-5, SSV IA, SSV IJ, SSV-6	SSV Federal Bureau of Prisons Summary Form ,   SSV State Prison Systems Summary Form ,   SSV Local Jail Jurisdictions Summary Form ,   SSV Other Correctional Facilities Summary Form ,   SSV State Juvenile Systems Summary Form ,   SSV Locally or Privately-Operated Juvenile Facilities Summary Form ,   SSV Incident Form Adult ,   SSV Incident Form Juveniles

---

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	1,481	0	0	1,481	0	0
Annual Time Burden (Hours)	992	0	0	992	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: No

Burden Reduction Due to:

Short Statement: We are requesting a reduction to 992 hours to account for the fact that about 66% of jails reported zero incidents of inmate-on-inmate victimizations in 2008 (n=369), and 69% reported zero incidents of staff-on-inmate victimization in 2008. Private prisons and jails followed the same trend, with 63% reporting zero incidents of inmate-on-inmate victimizations in 2008 (n=54), and 60% reporting zero incidents of staff-on-inmate victimization in 2008.

---

Annual Cost to Federal Government: $602,111

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

---

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: 03/17/2011

---