Wingman Intervention Training (WIT) Program Evaluation Survey

Forms and Documents

Document Name	Status
0704-0627_Slides with QR codes In-Person Survey Delivery.pptx Supplementary Document	2022-04-27
0704-0627_WIT Main Study Consent (Baseline).docx Supplementary Document	2022-04-27
0704-0627_WIT (Treatment Group) Follow Up Survey Initial and Reminder Email Template.docx Supplementary Document	2022-04-27
0704-0627_WIT (Treatment Group) Baseline Survey Initial and Reminder Email Template.docx Supplementary Document	2022-04-27
0704-0627_WIT (Comparison Group) Follow Up Survey Initial and Reminder Email Template.docx Supplementary Document	2022-04-27
0704-XXXX_WIT Evaluation Plan YQ2 Jan 29 2022.docx Supplementary Document	2022-01-26
0704-0627_WIT Main Study Consent (Follow Up).docx Supplementary Document	2022-04-27
0704-0627_WIT (Comparison Group) Baseline Survey Initial and Reminder Email Template.docx Supplementary Document	2022-04-27
0704-0627_WIT_SSA_8.2.2022.docx Supporting Statement A	2022-08-02
0704-0627-WIT_SSB_6.21.22.docx Supporting Statement B	2022-06-21

IC Document Collections

IC ID	Document Title	Status
253101	WIT Implementer Fidelity Assessment Other-Survey	New
253100	WIT Program Evaluation Airmen/Guardians Feedback Form Other-Survey	New
250858	WIT Program Evaluation Baseline/Follow-up Survey Other-Survey	Modified

ICR Details

OMB Control No: 0704-0627	ICR Reference No: 202203-0704-009
Status: Received in OIRA	Previous ICR Reference No: 202112-0704-006
Agency/Subagency: DOD/DODDEP	Agency Tracking No:
Title: Wingman Intervention Training (WIT) Program Evaluation Survey
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular	Date Submitted to OIRA: 08/05/2022

	Requested	Previously Approved
Expiration Date	36 Months From Approved	08/31/2022
Responses	8,540	8,000
Time Burden (Hours)	2,379	2,333
Cost Burden (Dollars)	23,283	22,640

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Abstract: To determine the effectiveness of Wingman Intervention Training (WIT) program in preventing sexual harassment (SH) and sexual assault (SA). As part of ISAPPP, NORC, in collaboration with the Department of the Air Force (DAF), is conducting the ISAPPP surveys (a baseline survey and one follow-up survey) with DAF First Term Airmen/Guardians for the purpose of program evaluation.

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Authorizing Statute(s): None

Citations for New Statutory Requirements: None

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

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	87 FR 18359	03/30/2022
30-day Notice:	Federal Register Citation:	Citation Date:
	87 FR 47199	08/02/2022
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 3

IC Title	Form No.	Form Name
WIT Implementer Fidelity Assessment
WIT Program Evaluation Airmen/Guardians Feedback Form
WIT Program Evaluation Baseline/Follow-up Survey

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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	8,540	8,000	0	540	0	0
Annual Time Burden (Hours)	2,379	2,333	0	46	0	0
Annual Cost Burden (Dollars)	23,283	22,640	0	643	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: No

Burden Reduction Due to:

Short Statement: The burden has increased due to the addition of the Airmen and WIT Implementer Feedback Forms.

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Annual Cost to Federal Government: $597,210

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

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.     No

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.     No

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

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Common Form ICR:  No

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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: 08/05/2022

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