Information Collection

Restricted Sexual Assault Report

IC 231892 under ICR 201806-0703-001 · OMB 0703-0069.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0703-0069 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form DD-XXXX Restricted Sexual Assault Report	Form and Instruction
DD-XXXX Restricted Sexual Assault Report DRAFT DD RSAR Form 30 MAY 2018 locked.pdf	Form and Instruction

IC Title:

Restricted Sexual Assault Report

Agency IC Tracking Number:

Is this a Common Form? No

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
Form and Instruction	DD-XXXX	Restricted Sexual Assault Report	DRAFT DD RSAR Form 30 MAY 2018 locked.pdf		No		Paper Only

Line of Business: Defense and National Security

Subfunction: Operational Defense

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 300

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	300	300
Annual IC Time Burden (Hours)	150	150
Annual IC Cost Burden (Dollars)	3,579	3,579

Documents for IC

table that charts IC Documents
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.