Male Survivors of Sexual Assault – Investigating Challenges around seeking help (MOSAIC)

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Participant Resources.pdf	Supplementary Document	Uploaded 2024-09-16	Repair queued
MOSAIC Recruitment Flyer 18JUN24.docx	Supplementary Document	Uploaded 2024-08-08	Repair queued
MOSAIC Recruitment Flyer 18JUN24.docx	Supplementary Document	Uploaded 2024-08-08	Repair queued
MOSAIC Recruitment Flyer (includes veterans) 18JUN24.docx	Supplementary Document	Uploaded 2024-08-08	Repair queued
MOSAIC Recruitment Flyer (includes veterans) 18JUN24.docx	Supplementary Document	Uploaded 2024-08-08	Repair queued
MOSAIC Interview Scheduling Phone Template 13JUN24.docx	Supplementary Document	Uploaded 2024-08-08	Repair queued
MOSAIC Interview Scheduling Phone Template 13JUN24.docx	Supplementary Document	Uploaded 2024-08-08	Repair queued
MOSAIC DMDC email template.docx	Supplementary Document	Uploaded 2024-08-08	Available
MOSAIC DMDC email template.docx	Supplementary Document	Uploaded 2024-08-08	Repair queued
0703-MSIC_SSB_7.15.2024.docx	Supporting Statement B	Uploaded 2024-08-08	Repair queued
0703-MSIC_SSA_9.11.2024.docx	Supporting Statement A	Uploaded 2024-09-16	Repair queued
0703-MSIC_SSA_8.5.2024.docx	Supporting Statement A	Uploaded 2024-08-08	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
269980	MOSAIC Study Interviews	Other-Interview Guide	New
269979	MOSAIC Study Sign Up and Informed Consent	Other-Web Form	New

ICR Details

OMB Control No: 0703-0099	ICR Reference No: 202408-0703-001
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: DOW/NAVY	Agency Tracking No: 0703-MSIC
Title: Male Survivors of Sexual Assault – Investigating Challenges around seeking help (MOSAIC)
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 09/18/2024
Retrieve Notice of Action (NOA)	Date Received in OIRA: 08/09/2024
Terms of Clearance: This collection is approved based on the revised materials provided by the Department.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	09/30/2027	36 Months From Approved
Responses	120	0	0
Time Burden (Hours)	70	0	0
Cost Burden (Dollars)	1,063	0	0

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Abstract: Given the devastating effects of Military Sexual Trauma (MST) and limited information on male MST specifically, the U.S. Congress specified a requirement to improve the prevention of and response to sexual trauma affecting male service members in Section 538 of the National Defense Authorization Act for Fiscal Year 2016 (Pub. L. 114–92). Furthermore, the Department of Defense (DoD) developed a formalized plan of action to improve prevention and response efforts for male MST. Despite these efforts and consistent with prior research, DoD reports found that active duty men are substantially less likely to report MST relative to active duty women counterparts. As part of the DoD-wide effort to promote help-seeking for sexual assault survivors, the Department of Navy (DoN) Office of Force Resiliency (OFR) developed and recently updated the Prevention Plan of Action (aka Prevention Plan of Action 2.0, 2022-2024; PPoA 2.0). The PPoA 2.0 is a strategy framework leveraging public health science in military environments to prevent sexual assault in the military and improve response efforts. As part of this initiative, OFR commissioned this study (Agreement #NMR-24-11717) to investigate the help-seeking among men who experienced military sexual violence (i.e., sexual assault or sexual harassment). This study will address this requirement by conducting interviews with men who have experienced military sexual violence.

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Authorizing Statute(s): PL: Pub.L. 114 - 92 538 Name of Law: National Defense Authorization Act for Fiscal Year 2016
  

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:
	89 FR 22701	04/02/2024
30-day Notice:	Federal Register Citation:	Citation Date:
	89 FR 63423	08/05/2024
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
MOSAIC Study Interviews
MOSAIC Study Sign Up and Informed Consent

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ICR Summary of Burden

table that charts list of burden

	Total Approved	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	120	0	0	120	0	0
Annual Time Burden (Hours)	70	0	0	70	0	0
Annual Cost Burden (Dollars)	1,063	0	0	1,063	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: This is a new collection with a new associated burden.

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Annual Cost to Federal Government: $29,725

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.     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: 08/09/2024

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