Information Collection

Survey of Sexual Victimization (2017, 2018, 2019)

IC 232480 under ICR 202106-1121-003 · OMB 1121-0292.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1121-0292 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form SSV-1, SSV-2, SSV- Survey of Sexual Victimization (2017, 2018, 2019)	Form and Instruction
SSV-1, SSV-2, SSV- Survey of Sexual Victimization (Federal, State, Local, J Attachment 2 - Questionnaires_2018-07-24.pdf	Form and Instruction
SSV-1, SSV-2, SSV- Survey of Sexual Victimization (Federal, State, Local, J Attachment 2 - Questionnaires_2018-07-24.pdf	Form and Instruction
Attachments_2018-07-24.pdf SSV Attachments	IC Document
Attachments_2018-07-24.pdf SSV Attachments	IC Document

IC Title:

Survey of Sexual Victimization (2017, 2018, 2019)

Agency IC Tracking Number:

BJS

Is this a Common Form? No

IC Status: Removed

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
Form and Instruction	SSV-1, SSV-2, SSV-3, SSV-4, SSV-5, SSV-1A, SSV-1J	Survey of Sexual Victimization (Federal, State, Local, Juvenile, Private facilities)	Attachment 2 - Questionnaires_2018-07-24.pdf		Yes	Yes	Fillable Fileable

Line of Business: Correctional Activities

Subfunction: Criminal Incarceration

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 1,574

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 90 %

table that charts list of burden
	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	-1,574	1,574
Annual IC Time Burden (Hours)	-2,338	2,338
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
SSV Attachments	Attachments_2018-07-24.pdf	07/31/2018

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