Information Collection

DoD Sexual Assault Prevention and Response Office Victim-Related Inquiries

IC 226243 under ICR 201703-0704-009 · OMB 0704-0565.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0704-0565 can be found here:

Documents and Forms

Document Name Document Type
Form DD Form 2985 DoD Sexual Assault Prevention and Response Office Victim-Related Inquiries Form
VRI Example Telephone Script.docx Other-Telephone Script
Email Template for VRI.pdf Other-Email Template
DD Form 2985 Department of Defense Sexual Assault Prevention and Resp DD Form 2985.pdf Form
DD Form 2985-1 Military Feedback Form DD Form 2985-1.docx safehelpline.org/anonymous-feedback.cfm Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	DoD Sexual Assault Prevention and Response Office Victim-Related Inquiries	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	DD Form 2985	Department of Defense Sexual Assault Prevention and Response Office (SAPRO) Request for SAPRO'S Assistance	DD Form 2985.pdf	SAPR.mil	Yes	No	Fillable Printable
Form	DD Form 2985-1	Military Feedback Form	DD Form 2985-1.docx	safehelpline.org/anonymous-feedback.cfm	Yes	Yes	Fillable Fileable
Other-Telephone Script			VRI Example Telephone Script.docx		No		Paper Only
Other-Email Template			Email Template for VRI.pdf		Yes	Yes	Printable Only

Line of Business: Defense and National Security

Subfunction: Operational Defense

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 33	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 80 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	33	33
Annual IC Time Burden (Hours)	17	17
Annual IC Cost Burden (Dollars)	375	375

Documents for IC

Title	Document	Date Uploaded
No associated records found

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