Information Collection Request

Survey of Sexual Victimization

ICR 202106-1121-003 · OMB 1121-0292 · Received in OIRA

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form SSV-1-6 SSV-IA, SS Survey of Sexual Victimization Form and Instruction New Missing upstream
Form SSV-1, SSV-2, SSV- Survey of Sexual Victimization (2017, 2018, 2019) Form and Instruction Removed Repair queued
All Attachments.pdf Supplementary Document Uploaded 2021-06-29 Repair queued
Supporting Statement - SSV - Part A_06.24.21.docx Supporting Statement A Uploaded 2021-06-29 Repair queued
Supporting Statement - SSV - Part B 06.24.21.docx Supporting Statement B Uploaded 2021-06-29 Missing upstream

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
248097 Survey of Sexual Victimization Form and Instruction New
232480 Survey of Sexual Victimization (2017, 2018, 2019) Form and Instruction Removed

ICR Details

Reginfo record details
table that charts list comparision
  Requested Previously Approved
36 Months From Approved 09/30/2021
1,581 1,574
2,342 2,338
0 0





Reginfo record details
1
table that charts list of burden
IC Title Form No. Form Name
Survey of Sexual Victimization SSV-1-6 SSV-IA, SSV-IJ Survey of Sexual Victimization
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 (Federal, State, Local, Juvenile, Private facilities)

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 1,581 1,574 0 7 0 0
Annual Time Burden (Hours) 2,342 2,338 0 4 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No