Information Collection

Survey of Sexual Victimization

IC 248097 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⚠️ Notice: This information collection may be referencing outdated material.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-1-6 SSV-IA, SS Survey of Sexual Victimization	Form and Instruction
SSV-1-6 SSV-IA, SS Survey of Sexual Victimization Attachment 2 - SSV Forms.pdf	Form and Instruction
SSV-1-6 SSV-IA, SS Survey of Sexual Victimization Attachment 2 - SSV Forms.pdf	Form and Instruction
All Attachments.pdf SSV attachments	IC Document
All Attachments.pdf SSV attachments	IC Document

IC Title:

Survey of Sexual Victimization

Agency IC Tracking Number:

BJS

Is this a Common Form? No

IC Status: New

Obligation to Respond: Mandatory

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-1-6 SSV-IA, SSV-IJ	Survey of Sexual Victimization	Attachment 2 - SSV Forms.pdf		Yes	Yes	Fillable Fileable

Line of Business: Correctional Activities

Subfunction: Criminal Incarceration

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 1,581

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
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	1,581	1,581
Annual IC Time Burden (Hours)	2,342	2,342
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
SSV attachments	All Attachments.pdf	06/29/2021

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