Information Collection Request

Survey of Sexual Victimization, 2016-2018

ICR 201703-1121-001 · OMB 1121-0292 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form SSV-IJ Survey of Sexual Victimization Substantiated Incident Form (Juvenile) Form and Instruction New Available
Form SSV-IA Survey of Sexual Victimization Substantiated Incident Form (Adult) Form and Instruction New Available
Form SSV-6 Survey of Sexual Victimization Locally or Privately Owned Juvenile Summary Form Form and Instruction New Available
Form SSV-5 Survey of Sexual Victimization State Juvenile Systems Summary Form Form and Instruction New Available
Form SSV-4 Survey of Sexual Victimization Other Correctional Facilities Summary Form Form and Instruction New Available
Form SSV-3 Survey of Sexual Victimization Local Jail Summary Form Form and Instruction New Available
Form SSV-2 Survey of Sexual Victimization State Prison System Summary Form Form and Instruction New Available
Form SSV-1 Survey of Sexual Victimization Federal Form Form and Instruction New Available
Form SSV IJ SSV Incident Form Juveniles Form and Instruction Removed Available
Form SSV IA SSV Incident Form Adult Form and Instruction Removed Available
Form SSV-6 SSV Locally or Privately-Operated Juvenile Facilities Summary Form Form and Instruction Removed Available
Form SSV-5 SSV State Juvenile Systems Summary Form Form and Instruction Removed Available
Form SSV-4 SSV Other Correctional Facilities Summary Form Form and Instruction Removed Available
Form SSV-3 SSV Local Jail Jurisdictions Summary Form Form and Instruction Removed Available
Form SSV-2 SSV State Prison Systems Summary Form Form and Instruction Removed Available
Form SSV-1 SSV Federal Bureau of Prisons Summary Form Form and Instruction Removed Available
Attachments.pdf Supplementary Document Uploaded 2017-03-03 Available
Supporting Statement - SSV - Part A.docx Supporting Statement A Uploaded 2017-03-03 Available
Supporting Statement - SSV - Part B.docx Supporting Statement B Uploaded 2017-03-03 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
225937 Survey of Sexual Victimization 2016-2018 Form and Instruction NewSurvey of Sexual Victimization Substantiated Incident Form (Juvenile)
225937 Survey of Sexual Victimization 2016-2018 Form and Instruction NewSurvey of Sexual Victimization Substantiated Incident Form (Adult)
225937 Survey of Sexual Victimization 2016-2018 Form and Instruction NewSurvey of Sexual Victimization Locally or Privately Owned Juvenile Summary Form
225937 Survey of Sexual Victimization 2016-2018 Form and Instruction NewSurvey of Sexual Victimization State Juvenile Systems Summary Form
225937 Survey of Sexual Victimization 2016-2018 Form and Instruction NewSurvey of Sexual Victimization Other Correctional Facilities Summary Form
225937 Survey of Sexual Victimization 2016-2018 Form and Instruction NewSurvey of Sexual Victimization Local Jail Summary Form
225937 Survey of Sexual Victimization 2016-2018 Form and Instruction NewSurvey of Sexual Victimization State Prison System Summary Form
225937 Survey of Sexual Victimization 2016-2018 Form and Instruction NewSurvey of Sexual Victimization Federal Form
12623 Survey on Sexual Victimization Form and Instruction RemovedSSV Incident Form Juveniles
12623 Survey on Sexual Victimization Form and Instruction RemovedSSV Incident Form Adult
12623 Survey on Sexual Victimization Form and Instruction RemovedSSV Locally or Privately-Operated Juvenile Facilities Summary Form
12623 Survey on Sexual Victimization Form and Instruction RemovedSSV State Juvenile Systems Summary Form
12623 Survey on Sexual Victimization Form and Instruction RemovedSSV Other Correctional Facilities Summary Form
12623 Survey on Sexual Victimization Form and Instruction RemovedSSV Local Jail Jurisdictions Summary Form
12623 Survey on Sexual Victimization Form and Instruction RemovedSSV State Prison Systems Summary Form
12623 Survey on Sexual Victimization Form and Instruction RemovedSSV Federal Bureau of Prisons Summary Form

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
04/30/2018 36 Months From Approved 06/30/2017
1,574 0 1,538
1,993 0 1,353
0 0 0





Reginfo record details
1
table that charts list of burden
IC Title Form No. Form Name
Survey of Sexual Victimization 2016-2018 SSV-5, SSV-4, SSV-1, SSV-3, SSV-IA, SSV-6, SSV-2, SSV-IJ ,   ,   ,   ,   ,   ,   ,  
Survey on Sexual Victimization SSV-1, SSV-2, SSV-3, SSV-4, SSV-5, SSV IA, SSV IJ, SSV-6 ,   ,   ,   ,   ,   ,   ,  

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 1,574 1,538 0 36 0 0
Annual Time Burden (Hours) 1,993 1,353 0 640 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No