Information Collection Request

Survey of Sexual Victimization, 2016-2018

ICR 201807-1121-003 · OMB 1121-0292 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form SSV-1, SSV-2, SSV- Survey of Sexual Victimization (Federal, State, Local, Juvenile, Private facilities) Form and Instruction New Available
Form SSV-IJ Survey of Sexual Victimization Substantiated Incident Form (Juvenile) Form and Instruction Removed Available
Form SSV-IA Survey of Sexual Victimization Substantiated Incident Form (Adult) Form and Instruction Removed Available
Form SSV-6 Survey of Sexual Victimization Locally or Privately Owned Juvenile Summary Form Form and Instruction Removed Available
Form SSV-5 Survey of Sexual Victimization State Juvenile Systems Summary Form Form and Instruction Removed Available
Form SSV-4 Survey of Sexual Victimization Other Correctional Facilities Summary Form Form and Instruction Removed Available
Form SSV-3 Survey of Sexual Victimization Local Jail Summary Form Form and Instruction Removed Available
Form SSV-2 Survey of Sexual Victimization State Prison System Summary Form Form and Instruction Removed Available
Form SSV-1 Survey of Sexual Victimization Federal Form Form and Instruction Removed Available
Attachments_2018-07-24.pdf Supplementary Document Uploaded 2018-07-31 Available
Supporting Statement - SSV - Part A_2018-07-25 draft.docx Supporting Statement A Uploaded 2018-07-31 Available
Supporting Statement - SSV - Part B.docx Supporting Statement B Uploaded 2018-07-31 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
232480 Survey of Sexual Victimization (2017, 2018, 2019) Form and Instruction NewSurvey of Sexual Victimization (Federal, State, Local, Juvenile, Private facilities)
225937 Survey of Sexual Victimization 2016-2018 Form and Instruction RemovedSurvey of Sexual Victimization Substantiated Incident Form (Juvenile)
225937 Survey of Sexual Victimization 2016-2018 Form and Instruction RemovedSurvey of Sexual Victimization Substantiated Incident Form (Adult)
225937 Survey of Sexual Victimization 2016-2018 Form and Instruction RemovedSurvey of Sexual Victimization Locally or Privately Owned Juvenile Summary Form
225937 Survey of Sexual Victimization 2016-2018 Form and Instruction RemovedSurvey of Sexual Victimization State Juvenile Systems Summary Form
225937 Survey of Sexual Victimization 2016-2018 Form and Instruction RemovedSurvey of Sexual Victimization Other Correctional Facilities Summary Form
225937 Survey of Sexual Victimization 2016-2018 Form and Instruction RemovedSurvey of Sexual Victimization Local Jail Summary Form
225937 Survey of Sexual Victimization 2016-2018 Form and Instruction RemovedSurvey of Sexual Victimization State Prison System Summary Form
225937 Survey of Sexual Victimization 2016-2018 Form and Instruction RemovedSurvey of Sexual Victimization Federal Form

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
09/30/2021 36 Months From Approved 04/30/2018
1,574 0 1,574
2,338 0 1,993
0 0 0





Reginfo record details
1
table that charts list of burden
IC Title Form No. Form Name
Survey of Sexual Victimization (2017, 2018, 2019) SSV-1, SSV-2, SSV-3, SSV-4, SSV-5, SSV-1A, SSV-1J
Survey of Sexual Victimization 2016-2018 SSV-5, SSV-4, SSV-1, SSV-3, SSV-IA, SSV-6, SSV-2, SSV-IJ ,   ,   ,   ,   ,   ,   ,  

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 1,574 0 0 0 0
Annual Time Burden (Hours) 2,338 1,993 0 345 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No