Milwaukee Police Department Stress Resiliency Questionnaires

Forms and Documents

Document Name	Status
Stress Resiliency Survey Battery Form and Instruction	Modified
Supporting Statement Part B _MPD_StressReduction_COPS_2012CKWXK002.docx Supporting Statement B	2013-05-10
Supporting Statement Part A 04-21-11SR_MPD_StressReduction_COPS.docx Supporting Statement A	2013-05-10

IC Document Collections

IC ID	Document Title	Status
206576	Stress Resiliency Survey Battery Form and Instruction	Modified

ICR Details

OMB Control No: 1103-0113	ICR Reference No: 201305-1103-003
Status: Historical Inactive	Previous ICR Reference No: 201304-1103-001
Agency/Subagency: DOJ/DOJADM	Agency Tracking No:
Title: Milwaukee Police Department Stress Resiliency Questionnaires
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: Improperly submitted	Conclusion Date: 07/22/2013
	Date Received in OIRA: 05/20/2013
Terms of Clearance: DOJ can resubmit this collection when it has addressed the comments sent by OMB on June 19.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date		36 Months From Approved
Responses	0	0	0
Time Burden (Hours)	0	0	0
Cost Burden (Dollars)	0	0	0

---

Abstract: The Milwaukee Police Department (MPD) will be undertaking a battery of Stress Resiliency Questionnaires through a COPS cooperative agreement with the MPD. These surveys will be used to collect data on MPD officers' perceived stress, responses to stressful experiences, stress and its relationship to biometrics and related questionnaires.

---

Authorizing Statute(s): PL: Pub.L. 103 - 322 Title I Name of Law: Violent Crime Control and Law Enforcement Act of 1994
  

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:
	78 FR 1250	01/08/2013
30-day Notice:	Federal Register Citation:	Citation Date:
	78 FR 16536	03/15/2013
Did the Agency receive public comments on this ICR? No

---

Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
Stress Resiliency Survey Battery	N/A, N/A, N/A, N/A, N/A	Impact Events Scale ,   Perceived Stress Scale ,   Person Organizational Quality Assessment ,   Response to Stressful Experiences Scale ,   Vital Exhaustion Scale

---

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: The reasons for the increase in burden is due to this being a newly proposed ICR on behalf of the COPS Office. The objective of this proposal is to test the hypothesis that training police to self regulate their emotional and physiological responses to stressors will increase their resiliency to such stress. In order to do so, the selected battery of tests will help determine this outcome.

---

Annual Cost to Federal Government: $0

Does this IC contain surveys, censuses, or employ statistical methods? No

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: 05/20/2013

---