Information Collection

Department of Navy Sexual Assault Prevention and Response Office Summit Evaluation

IC 237309 under ICR 201909-0704-011 · 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⚠️ Notice: This information collection may be referencing outdated material.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: Unchanged

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
	Requested	Previously Approved
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.