Information Collection

Clinical Indicators of Sexual Violence in Correctional Facilities Pilot Study

IC 187042 under ICR 200810-1121-001 · OMB 1121-0324.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1121-0324 can be found here:

Documents and Forms

Document Name Document Type
Clinical Indicators of Sexual Violence in Correctional Facilities Pilot Study Form
Clinical Indicators of Sexual Violence in Custody Attachment 3. Surveillance Form.doc Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Clinical Indicators of Sexual Violence in Correctional Facilities Pilot Study	Agency IC Tracking Number:	BJS

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	None	Clinical Indicators of Sexual Violence in Custody	Attachment 3. Surveillance Form.doc		No		Printable Only

Line of Business: Correctional Activities

Subfunction: Criminal Incarceration

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 35	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 20 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	1,435	1,435
Annual IC Time Burden (Hours)	383	383
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.