Survey of Sexual Victimization

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

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

Information Collection (IC) Details

View Information Collection (IC)

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:

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 %

	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

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.