OMB control number

Defense Sexual Assault Incident Reporting

OMB 0704-0482 · DOD/DODDEP.

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 2028-07-31 and is listed under ICR 202412-0704-006.

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
Document	Type
Form DD Form 2910-4 CATCH A SERIAL OFFENDER PROGRAM EXPLANATION AND NOTIFICATION INFORMATION FOR SEXUAL ASSAULT VICTIMS	Form
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 2910-3 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 2910-1 Replacement of Lost DD Form 2910 Victim Reporting Preference Statement	Form
Form DD Form 2910-2 Retaliation Reporting Statement for Unrestricted Sexual Assault Cases	Form
Form DD Form 2910-2 Defense Sexual Assault Incident Supplementary Reporting	Form
Form DD Form 2910 Victim Reporting Preference Statement	Form
Form DD Form 2965 Defense Sexual Assault Incident Database (DSAID) Data Form	Form
Form DD Form 2965 Defense Sexual Assault Incident Restricted Reporting	Form
Form DD Form 2910 Victim Reporting Preference Statement	Form
Form DD Form 2965 Defense Sexual Assault Incident Database (DSAID) Data Form	Form
Form DD Form 2965 Defense Sexual Assault Incident Unrestricted Reporting	Form
DoD 7730.47-M_vol1.pdf	Supplementary Document
DHRA 06_DSAID_SSN JM_FINAL 050824.pdf	Supplementary Document
0704-0482_ SSA_6.20.25.docx	Supporting Statement A
DSAID_SSN _2019.pdf	Supplementary Document
Catch a Serial Offender Program Explanation and Notification Information for Sexual Assault Victims	Form
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
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 Supplementary Reporting	Form
Defense Sexual Assault Incident Supplementary Reporting	Form
Defense Sexual Assault Incident Restricted Reporting	Form
Defense Sexual Assault Incident Restricted Reporting	Form
Defense Sexual Assault Incident Restricted Reporting	Form
Defense Sexual Assault Incident Unrestricted Reporting	Form
Defense Sexual Assault Incident Unrestricted Reporting	Form
Defense Sexual Assault Incident Unrestricted Reporting	Form

All Historical Document Collections

Historical document collections
Reference	Filing	Received	Action
202412-0704-006	Revision of a currently approved collection	2025-01-17
202105-0704-001	Revision of a currently approved collection	2022-01-26	Approved without change
201811-0704-002	Revision of a currently approved collection	2018-11-26	Approved without change
201509-0704-003	Extension without change of a currently approved collection	2015-09-25	Approved with change
201206-0704-003	Extension without change of a currently approved collection	2012-06-28	Approved with change
201112-0704-002	New collection (Request for a new OMB Control Number)	2011-12-07	Approved with change

OMB Details

Defense Sexual Assault Incident Unrestricted Reporting

Federal Enterprise Architecture: Defense and National Security - Operational Defense

Information collection instruments
Form	Name	Electronic access	Type
Form DD Form 2965	Defense Sexual Assault Incident Database (DSAID) Data Form	Fillable Fileable	Form
Form DD Form 2910	Victim Reporting Preference Statement	Fillable Fileable	Form

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