Survey of VOCA and VAWA STOP Administrators about Sexual Assault Medical Forensic Exam Payment Policies and Practices

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form 1122-XXXX Survey of VOCA and VAWA STOP Administrators about Sexual Assault Medical Forensic Exam Payment Policies and Practices	Form	New	Repair queued
1122-NEW VOCASTOPAdminSurvey Sup State.doc	Supporting Statement A	Uploaded 2019-12-04	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
237569	Survey of VOCA and VAWA STOP Administrators about Sexual Assault Medical Forensic Exam Payment Policies and Practices	Form	New

ICR Details

OMB Control No:	ICR Reference No: 201905-1122-003
Status: Received in OIRA	Previous ICR Reference No:
Agency/Subagency: DOJ/OVW	Agency Tracking No:
Title: Survey of VOCA and VAWA STOP Administrators about Sexual Assault Medical Forensic Exam Payment Policies and Practices
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Regular	Date Submitted to OIRA: 12/06/2019

table that charts list comparision

	Requested	Previously Approved
Expiration Date	36 Months From Approved
Responses	112	0
Time Burden (Hours)	56	0
Cost Burden (Dollars)	0	0

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Abstract: Established in 1995, OVW administers financial and technical assistance to communities across the country that are developing programs, policies, and practices that combat domestic/dating violence, sexual assault, and stalking. OVW administers both formula-based and discretionary grant programs, established under the Violence Against Women Act (VAWA) and subsequent legislation. Recipients of OVW funds work through a coordinated community response to support victims and hold perpetrators accountable. The purpose of this collection is to find out how states/territories are paying for sexual assault medical forensic exams, meaning the funding sources they use for this purpose and the reimbursement procedures they follow. The information will be used by OVW and IAFN to determine what training and technical assistance (TTA) states need to ensure that sexual assault victim-patients are not charged for their exams. The affected public includes a maximum of 112 employees of states and territories who serve as Victims of Crime Act (VOCA) administrators and VAWA STOP administrators. VOCA administrators manage funds made available from the Crime Victims Fund (CVF) for victim assistance and victim compensation. STOP administrators manage the distribution and monitoring of OVW STOP Formula Program funds, which are distributed to states/territories to support law enforcement, prosecutors, victim services providers, and courts in responding to sexual and domestic violence. VOCA and STOP administrators must ensure that funds are subgranted, spent, and reported in compliance with all applicable regulations and requirements. In some states, the designated VOCA administrator and STOP administrator is the same individual. Because VOCA and STOP administrators are responsible for how federal grant dollars for combatting violence against women are used, they typically have thorough knowledge of how sexual assault medical forensic exams—for which VAWA prohibits charging victims—are paid for in their states. Therefore, these administrators are a key source of information about state policies and procedures for reimbursing healthcare providers for exams, as well as the funding sources used for this purpose. Furthermore, VOCA and VAWA administrators may have considerable insight into which strategies are showing promise in their states, and what approaches have proved challenging.

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Authorizing Statute(s): US Code: 34 USC 12291 et seq. Name of Law: Violence Against Women Act
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	84 FR 14400	04/10/2019
30-day Notice:	Federal Register Citation:	Citation Date:
	84 FR 31106	06/28/2019
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

table that charts list of burden

IC Title	Form No.	Form Name
Survey of VOCA and VAWA STOP Administrators about Sexual Assault Medical Forensic Exam Payment Policies and Practices	1122-XXXX	VOCA/VAWASurvey

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ICR Summary of Burden

table that charts list of burden

	Total Request	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	112	0	0	112	0	0
Annual Time Burden (Hours)	56	0	0	56	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: The purpose of this collection is to find out how states/territories are paying for sexual assault medical forensic exams, meaning the funding sources they use for this purpose and the reimbursement procedures they follow. The information will be used by OVW and IAFN to determine what training and technical assistance (TTA) states need to ensure that sexual assault victim-patients are not charged for their exams. This is a new survey.

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Annual Cost to Federal Government: $700

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     No

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? No

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 12/06/2019

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