Personalized Web-based Sexual Assault Prevention for Service Members

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Normative Survey_Reminder Email.docx	Supplementary Document	Uploaded 2022-08-16	Missing upstream
Change_Sailors_-_Payment_Contact_Information.pdf	Supplementary Document	Uploaded 2022-08-03	Repair queued
Recruitment Flyers.pdf	Supplementary Document	Uploaded 2022-08-03	Repair queued
Recruitment Email Focus Group 24JUN22 copy.docx	Supplementary Document	Uploaded 2022-08-03	Repair queued
Survey_Measures Table.pdf	Supplementary Document	Uploaded 2022-02-24	Repair queued
Recruitment Email_Norms Survey_24JUN22.docx	Supplementary Document	Uploaded 2022-08-03	Repair queued
Recruitment Email Interview 24JUN22.docx	Supplementary Document	Uploaded 2022-08-03	Repair queued
0703-0080_SSA_8.24.2022.docx	Supporting Statement A	Uploaded 2022-08-24	Missing upstream
0703-0080_SSB_6.24.2022.docx	Supporting Statement B	Uploaded 2022-08-03	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
251184	Interview and Focus Groups + Pre/Post Surveys	Other-Survey	Modified
251031	Sexual Assault Prevention in Service Members Normative Survey	Other-Survey	Modified

ICR Details

OMB Control No: 0703-0080	ICR Reference No: 202207-0703-008
Status: Received in OIRA	Previous ICR Reference No: 202201-0703-001
Agency/Subagency: DOD/NAVY	Agency Tracking No: 0703-PWSP
Title: Personalized Web-based Sexual Assault Prevention for Service Members
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular	Date Submitted to OIRA: 08/29/2022

table that charts list comparision

	Requested	Previously Approved
Expiration Date	36 Months From Approved	08/31/2022
Responses	761	761
Time Burden (Hours)	402	360
Cost Burden (Dollars)	5,800	5,199

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Abstract: The aim of this study is to assist in the adaptation of an existing web-based sexual assault prevention program for college men and women, for use among the Navy population. Responses to the survey will provide information about the behavior and attitudes of Sailors regarding alcohol use and sexual assault. The results of the survey will impact the Department of the Navy by documenting the feasibility, acceptability, satisfaction, and utility of a multi-pronged, individually tailored, and easily distributed prevention program that addresses the large problem of sexual assault, and the associated effects of alcohol for Sailors. In the long-term, this research benefits the readiness of the force by producing an easily disseminated high-quality sexual assault prevention program that can be implemented in multiple military settings and sustain evaluation in a larger clinical trial. This research can also have a secondary impact on reducing hazardous alcohol use among service members and can prevent the occurrence of alcohol use problems and associated negative health sequelae in service members.

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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 23504	04/20/2022
30-day Notice:	Federal Register Citation:	Citation Date:
	87 FR 51654	08/23/2022
Did the Agency receive public comments on this ICR? No

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

table that charts list of burden

IC Title	Form No.	Form Name
Interview and Focus Groups + Pre/Post Surveys
Sexual Assault Prevention in Service Members Normative Survey

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ICR Summary of Burden

table that charts list 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	761	761	0	0	0	0
Annual Time Burden (Hours)	402	360	0	42	0	0
Annual Cost Burden (Dollars)	5,800	5,199	0	601	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: Burden increased slightly due to revised estimated average response time to Normative Survey.

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Annual Cost to Federal Government: $8,064

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: 08/29/2022

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