Information Collection

Department of Navy Sexual Assault Prevention and Response Office Summit Evaluation

IC 237309 under ICR 201902-0704-006 · OMB 0704-0553.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0704-0553 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Regional Discussion NYC Draft 2.docx	Other-Survey
OnePager_SAPROSurvey_8.9.19.doc One Pager	IC Document

IC Title:

Department of Navy Sexual Assault Prevention and Response Office Summit Evaluation

Agency IC Tracking Number:

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
Other-Survey			Regional Discussion NYC Draft 2.docx		Yes	Yes	Fillable Fileable

Line of Business: Defense and National Security

Subfunction: Operational Defense

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 150

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	150	150
Annual IC Time Burden (Hours)	13	13
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
One Pager	OnePager_SAPROSurvey_8.9.19.doc	08/09/2019

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