OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

Testing of Sexual Violence Definitions and Recommended Data Elements in Three Different Racial/Ethnic Minority Communities

ICR 201003-0920-006 · OMB 0920-0796 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
Testing of Sexual Violence Definitions and Recommended Data Elements in Three Different Racial/Ethnic Minority Communities (Phase 2- Main Survey) Form Modified Available
Form 3 Testing of Sexual Violence Definitions and Recommended Data Elements in Three Different Racial/Ethnic Minority Communities (Phase 2-Screening for Main Survey) Form and Instruction Modified Repair queued
Form 2 Testing of Sexual Violence Definitions and Recommended Data Elements in Three Different Racial/Ethnic Minority Communities (Phase 1-Cognitive Interview) Form and Instruction Modified Repair queued
Form 1 Testing of Sexual Violence Definitions and Recommended Data Elements in Three Different Racial/Ethnic Minority Communities (Phase 1-Cognitive Interview) Form and Instruction Modified Available
Description of Changes to OMB Survey_v3.docx Supplementary Document Uploaded 2010-03-04 Available
Justification for Requested Changes.docx Justification for No Material/Nonsubstantive Change Uploaded 2010-03-04 Repair queued
IC Document Collections
IC IDCollectionTypeStatusForm
184876 Testing of Sexual Violence Definitions and Recommended Data Elements in Three Different Racial/Ethnic Minority Communities (Phase 2- Main Survey) Form Modified
184875 Testing of Sexual Violence Definitions and Recommended Data Elements in Three Different Racial/Ethnic Minority Communities (Phase 2-Screening for Main Survey) Form and Instruction Modified
184874 Testing of Sexual Violence Definitions and Recommended Data Elements in Three Different Racial/Ethnic Minority Communities (Phase 1-Cognitive Interview) Form and Instruction Modified
184873 Testing of Sexual Violence Definitions and Recommended Data Elements in Three Different Racial/Ethnic Minority Communities (Phase 1-Cognitive Interview) Form and Instruction Modified
ICR Details
0920-0796 201003-0920-006
Historical Active 200805-0920-007
HHS/CDC
Testing of Sexual Violence Definitions and Recommended Data Elements in Three Different Racial/Ethnic Minority Communities
No material or nonsubstantive change to a currently approved collection   No
Regular
Approved without change 03/30/2010
Retrieve Notice of Action (NOA) 03/16/2010
Approved consistent with the following terms of clearance: due to the essentially anecdotal nature of the survey CDC will not use results from this collection to project estimates related to the incidence of sexual violence in the general population or in any of the specific subgroups surveyed. Upon completion of the survey CDC will share a copy of findings with OMB.
  Inventory as of this Action Requested Previously Approved
01/31/2012 01/31/2012 01/31/2012
2,031 0 2,031
646 0 646
0 0 0
This study examines the definitions of sexual violence in three racial/ethnic minority communities: African-American, American Indian, and Hispanic. The purpose of this project is to develop an understanding of sexual violence in these communities. The developed survey will include the following: projecting estimates of sexual violence; describing the type of sexual violence; and developing a strategy that will increase awareness of sexual violence in minority communities. In addition, this project will establish the groundwork for similar future research.
PL: Pub.L. 42 - 301 241 Name of Law: Public Health Service Act
   PL: Pub.L. 42 - 391 241 Name of Law: Public Health Service Act
  
None
Not associated with rulemaking
  72 FR 29168 05/24/2007
73 FR 23465 04/30/2008
Yes
  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 2,031 2,031 0 0 0 0
Annual Time Burden (Hours) 646 646 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No
$201,637
Yes Part B of Supporting Statement
No
Uncollected
Uncollected
No
Uncollected
Maryam Daneshvar 4046394604
  No
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:
 
 
 
 
 
 
 
    (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;
 
 
 
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.
03/16/2010