OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

Clinical Indicators of Sexual Violence in Correctional Facilities Pilot Study

ICR 201003-1121-003 · OMB 1121-0324 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
Clinical Indicators of Sexual Violence in Custody Form New Available
Clinical Indicators of Sexual Violence in Correctional Facilities Pilot Study Form Modified Available
Responses to OMB questions (2).docx Supplementary Document Uploaded 2010-03-31 Available
Attachment 4. Final Data Collection Form Rev.doc Supplementary Document Uploaded 2010-03-31 Available
Attachment 8. CISVC Implementer Training Agenda.doc Supplementary Document Uploaded 2010-03-22 Available
Attachment 9. Reporter Instructions.doc Supplementary Document Uploaded 2010-03-22 Available
Attachment 11. Self-Learning Training PowerPoint.ppt Supplementary Document Uploaded 2010-03-22 Available
Attachment 12. Standard Operating Procedures.doc Supplementary Document Uploaded 2010-03-22 Available
Attachment 10 Frequently Asked Questions.doc Supplementary Document Uploaded 2010-03-22 Available
83c-fill.pdf Supplementary Document Uploaded 2010-03-12 Available
Clinical Indicators of Sexual Victim Memo.pdf Justification for No Material/Nonsubstantive Change Uploaded 2010-03-12 Available
Attachment 10. References.doc Supplementary Document Uploaded 2009-04-17 Available
Attachment 5. Assurance of Confidentiality.doc Supplementary Document Uploaded 2008-12-19 Available
Attachment 6 CDC IRB.pdf Supplementary Document Uploaded 2008-12-19 Available
Attachment 4.Title 42.doc Supplementary Document Uploaded 2008-12-19 Available
Attachment 2 CDC Authority.pdf Supplementary Document Uploaded 2008-12-19 Available
Attachment 1 Public Law 108-79.pdf Supplementary Document Uploaded 2008-12-19 Available
CISVC Support Statement Part B Rev.docx Supporting Statement B Uploaded 2010-03-22 Available
CISVC Supp statement Part A Rev.doc Supporting Statement A Uploaded 2010-03-22 Available
IC Document Collections
IC IDCollectionTypeStatusForm
192268 Clinical Indicators of Sexual Violence in Custody Form New
187042 Clinical Indicators of Sexual Violence in Correctional Facilities Pilot Study Form Modified
ICR Details
1121-0324 201003-1121-003
Historical Active 200810-1121-001
DOJ/OJP BJS
Clinical Indicators of Sexual Violence in Correctional Facilities Pilot Study
No material or nonsubstantive change to a currently approved collection   No
Regular
Approved with change 03/31/2010
Retrieve Notice of Action (NOA) 03/23/2010
OMB looks forward to receiving the results of this feasibility study prior to or in concert with a submission for a pilot study or any future efforts to conduct passive medical surveillance under the PREA program.
  Inventory as of this Action Requested Previously Approved
05/31/2011 05/31/2011 05/31/2011
2,870 0 1,435
383 0 383
0 0 0
The National Prison Rape Statistics Program is a collection mandated by Congress in the Prison Rape Elimination Act of 2003. The purpose of the Clinical Indicators of Sexual Violence in Correctional Facilities Pilot Study is to develop a passive surveillance system to strengthen the national capacity to monitor sexual violence in correctional settings. The system will be the only national source of surveillance data for clinical indicators of sexual violence among inmates.
PL: Pub.L. 108 - 79 2 Name of Law: Prison Rape Elimination Act of 2003
  
None
Not associated with rulemaking
  73 FR 55133 09/24/2008
73 FR 72838 12/01/2008
No
  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 2,870 1,435 0 1,435 0 0
Annual Time Burden (Hours) 383 383 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
Yes
Miscellaneous Actions
This is a new collection that adds a burden to OJP's inventory. The is no change to the burden hours, but the data collection instrument has been revised to reflect input from the respondents.
$296,670
Yes Part B of Supporting Statement
No
Uncollected
Uncollected
No
Uncollected
Paul Guerino 2023070349
  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.
03/23/2010