Defense Sexual Assault Incident Database

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form DD 2965 Defense Sexual Assault Incident Database	Form and Instruction	Modified	Available
Supporting Statement_DSAID PRA _2015_Final.docx	Supporting Statement A	Uploaded 2015-11-03	Available
Draft_DHRA 06 (DSAID)_Alteration_2015.doc	Supplementary Document	Uploaded 2015-11-02	Available
DSAID PIA_DHRA 06 (DSAID)_2015_Signed.pdf	Supplementary Document	Uploaded 2015-11-02	Available
773047m_vol1.pdf	Supplementary Document	Uploaded 2015-11-02	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
200363	Defense Sexual Assault Incident Database	Form and Instruction	Modified

ICR Details

OMB Control No: 0704-0482	ICR Reference No: 201509-0704-003
Status: Historical Active	Previous ICR Reference No: 201206-0704-003
Agency/Subagency: DOD/DODDEP	Agency Tracking No:
Title: Defense Sexual Assault Incident Database
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 11/04/2015
	Date Received in OIRA: 09/25/2015
Terms of Clearance: This collection is approved based on the revised materials provided by the Department.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	11/30/2018	36 Months From Approved	11/30/2015
Responses	1,130	0	3,200
Time Burden (Hours)	1,313	0	3,200
Cost Burden (Dollars)	29,640	0	0

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Abstract: Public Law 110-417 mandated the implementation of a centralized, case-level database for the collection, in a manner consistent with Department of Defense regulations for Unrestricted and Restricted Reporting, and maintenance of information regarding sexual assaults involving a member of the Armed Forces, including information, if available, about the nature of the assault, the victim, the offender, and case outcomes in connection with the assault. The law also required the database to be used to develop and implement congressional reports required by law.

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Authorizing Statute(s): PL: Pub.L. 110 - 417 563 Name of Law: National Defense Authorization Act for Fiscal Year 2009
   US Code: 10 USC 136 Name of Law: Under Secretary of Defense for Personnel and Readiness
   US Code: 10 USC 3013 Name of Law: Secretary of the Army
   US Code: 10 USC 5013 Name of Law: Secretary of the Navy
   US Code: 10 USC 8013 Name of Law: Secretary of the Air Force
   US Code: 32 USC 102 Name of Law: National Guard
   EO: EO 9397 Name/Subject of EO: SSN
  

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:
	80 FR 45646	07/31/2015
30-day Notice:	Federal Register Citation:	Citation Date:
	80 FR 57795	09/25/2015
Did the Agency receive public comments on this ICR? No

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

table that charts list of burden

IC Title	Form No.	Form Name
Defense Sexual Assault Incident Database	DD 2965, DD 2910	Defense Sexual Assault Incident Database (DSAID) Data Form ,   Victim Reporting Preference Statement

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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	1,130	3,200	0	0	-2,070	0
Annual Time Burden (Hours)	1,313	3,200	0	0	-1,887	0
Annual Cost Burden (Dollars)	29,640	0	0	0	29,640	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: The reason for the reduction in burden is due to more accurate estimates of program usage for members of the public since operation was fully stood up.

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Annual Cost to Federal Government: $2,816,187

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

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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: 09/25/2015

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