Information Collection

Systematic Identification and Assessment of Sexual Violence Prevention Strategies

IC 221571 under ICR 201412-0920-011 · OMB 0920-0879.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0879 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Sexual Violence Prevention Strategy Description Systematic Identification and Assessment of Sexual Violence Prevention Strategies	Form
ATT. E Instrument Word Version.docx	Other-word
Sexual Violence Prevention Strategy Description ATT. F Instrument Web Version.pdf	Form
SSA-SVEVAL-SSA.docx SupSta A	IC Document
SSA-SVEVAL-SSB.docx SupSta B	IC Document
ATT. A RPE Awardee and Sub-awardee Counts.pdf Att A. RPE Awardee and Sub-awardee Counts	IC Document
ATT. B VAWA Reauthorization Legislation.pdf Att B. VAWA Legislation	IC Document
ATT. C Public Health Service Act 42 USC 280b-1b.pdf Att C. Public Health Service Act 42 USC 280b-1b	IC Document
ATT. G Call for Nominations.docx Att G: Call for Nominations	IC Document
ATT. H Reminder.docx Att H: REMINDER	IC Document
ATT. I Follow-up Email.docx Att I: FOLLOW-UP EMAIL	IC Document
ATT. D Rape Prevention and Education Program Factsheet.docx Att D: Rape Prevention and Education Program Fact Sheet	IC Document

IC Title:

Systematic Identification and Assessment of Sexual Violence Prevention Strategies

Agency IC Tracking Number:

16ALN

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-word			ATT. E Instrument Word Version.docx		Yes	Yes	Fillable Fileable
Form	none	Sexual Violence Prevention Strategy Description	ATT. F Instrument Web Version.pdf		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 525

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	525	525
Annual IC Time Burden (Hours)	424	424
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
SupSta A	SSA-SVEVAL-SSA.docx	05/20/2016
SupSta B	SSA-SVEVAL-SSB.docx	05/20/2016
Att A. RPE Awardee and Sub-awardee Counts	ATT. A RPE Awardee and Sub-awardee Counts.pdf	05/20/2016
Att B. VAWA Legislation	ATT. B VAWA Reauthorization Legislation.pdf	05/20/2016
Att C. Public Health Service Act 42 USC 280b-1b	ATT. C Public Health Service Act 42 USC 280b-1b.pdf	05/20/2016
Att G: Call for Nominations	ATT. G Call for Nominations.docx	05/20/2016
Att H: REMINDER	ATT. H Reminder.docx	05/20/2016
Att I: FOLLOW-UP EMAIL	ATT. I Follow-up Email.docx	05/20/2016
Att D: Rape Prevention and Education Program Fact Sheet	ATT. D Rape Prevention and Education Program Factsheet.docx	05/20/2016

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.