CATCH Program

Forms and Documents

Document Name	Status
Form DRAFT FORM RESTRICTED SEXUAL ASSAULT REPORT Form and Instruction	Modified
0703-0069_CATCH Program_SS-A_08.23.2021.docx Supporting Statement A	2021-08-23
0703-0069_CATCH PIA_7.20.2021.pdf Supplementary Document	2021-07-30
CATCH SORN 16May2018.doc Supplementary Document	2018-06-21

IC Document Collections

IC ID	Document Title	Status
248686	CATCH Program Website Other-Website	New
231892	RESTRICTED SEXUAL ASSAULT REPORT Form and Instruction	Modified

ICR Details

OMB Control No: 0703-0069	ICR Reference No: 202107-0703-003
Status: Received in OIRA	Previous ICR Reference No: 201806-0703-001
Agency/Subagency: DOD/NAVY	Agency Tracking No:
Title: CATCH Program
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular	Date Submitted to OIRA: 08/23/2021

	Requested	Previously Approved
Expiration Date	36 Months From Approved	08/31/2021
Responses	385	300
Time Burden (Hours)	193	150
Cost Burden (Dollars)	298	3,579

---

Abstract: The form and website is for use by victims in restricted reports of sexual assault who wish to make certain information available to the Military Criminal Investigative Organizations (MCIO) while keeping the status of their report as restricted.

---

Authorizing Statute(s): PL: Pub.L. 113 - 291 543 Name of Law: National Defense Authorization Act FY2015
  

Citations for New Statutory Requirements: None

---

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	86 FR 33695	06/25/2021
30-day Notice:	Federal Register Citation:	Citation Date:
	86 FR 47091	08/23/2021
Did the Agency receive public comments on this ICR? No

---

Number of Information Collection (IC) in this ICR: 2

IC Title	Form No.	Form Name
CATCH Program Website
RESTRICTED SEXUAL ASSAULT REPORT	DRAFT FORM	RESTRICTED SEXUAL ASSUALT REPORT

---

ICR Summary 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	385	300	0	85	0	0
Annual Time Burden (Hours)	193	150	0	43	0	0
Annual Cost Burden (Dollars)	298	3,579	0	-3,281	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: Yes

Burden Reduction Due to: Using Information Technology

Short Statement: The burden hours have increased since the previous approval due to slight increases in respondents and increased estimated hourly wages.

---

Annual Cost to Federal Government: $45,361

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     Yes

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? No

---

Common Form ICR:  No

---

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 08/23/2021

---