Defense Sexual Assault Incident Reporting

OMB 0704-0482

Public Law 110-417 mandated the implementation of a centralized, case-level database for the collection, in a manner consistent with Department of Defense regulations for Unrestricted and Restricted Reporting, and maintenance of information regarding sexual assaults involving a member of the Armed Forces, including information, if available, about the nature of the assault, the victim, the offender, and case outcomes in connection with the assault. The law also required the database to be used to develop and implement congressional reports required by law.

The latest form for Defense Sexual Assault Incident Reporting expires 2022-01-31 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
Form DD Form 2910-4 Catch a Serial Offender Program Explanation and Notification Information for Sexual Assault Victims Form
Form DD Form 2910-3 Return of Victim's Personal Property in Restricted Reporting Sexual Assaults Cases Collected During a Sexual Assault Forensic Examination (SAFE) Form and Instruction
Form DD Form 2910-2 Defense Sexual Assault Incident Supplementary Reporting Form
Form DD Form 2965 Defense Sexual Assault Incident Restricted Reporting Form
Form DD Form 2965 Defense Sexual Assault Incident Unrestricted Reporting Form
0704-0482_SSA_1.26.22.docx Supporting Statement A
DSAID_SSN _2019.pdf Supplementary Document
Catch a Serial Offender Program Explanation and Notification Information for Sexual Assault Victims Form
Return of Victim's Personal Property in Restricted Reporting Sexual Assaults Cases Collected During a Sexual Assault Forensic Examination (SAFE) Form and Instruction
Defense Sexual Assault Incident Supplementary Reporting Form
Defense Sexual Assault Incident Restricted Reporting Form
Defense Sexual Assault Incident Unrestricted Reporting Form

All Historical Document Collections

202105-0704-001 Approved without change	Revision of a currently approved collection	2022-01-26
201811-0704-002 Approved without change	Revision of a currently approved collection	2018-11-26
201509-0704-003 Approved with change	Extension without change of a currently approved collection	2015-09-25
201206-0704-003 Approved with change	Extension without change of a currently approved collection	2012-06-28
201112-0704-002 Approved with change	New collection (Request for a new OMB Control Number)	2011-12-07

OMB Details

Defense Sexual Assault Incident Unrestricted Reporting

Federal Enterprise Architecture: Defense and National Security - Operational Defense

Form DD Form 2910	Victim Reporting Preference Statement	Fillable Fileable	Form
Form DD Form 2965	Defense Sexual Assault Incident Database (DSAID) Data Form	Fillable Fileable	Form

Review document collections for all forms, instructions, and supporting documents - including paper/printable forms.