DoD Sexual Assault Prevention and Response Office Victim-Related Inquiries

Forms and Documents

Document Name	Status
Form DD Form 2985 DoD Sexual Assault Prevention and Response Office Victim-Related Inquiries Form	Modified
Email Template for VRI.PDF Supplementary Document	2019-07-31
VRI Example Telephone Script.DOCX Supplementary Document	2019-07-31
0704-0565_SS-A_7.31.2019.docx Supporting Statement A	2019-07-30

IC Document Collections

IC ID	Document Title	Status
226243	DoD Sexual Assault Prevention and Response Office Victim-Related Inquiries Form	Modified

ICR Details

OMB Control No: 0704-0565	ICR Reference No: 201907-0704-004
Status: Active	Previous ICR Reference No: 201703-0704-009
Agency/Subagency: DOD/DODDEP	Agency Tracking No:
Title: DoD Sexual Assault Prevention and Response Office Victim-Related Inquiries
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 09/14/2019
	Date Received in OIRA: 07/31/2019
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	09/30/2022	36 Months From Approved	09/30/2019
Responses	150	0	33
Time Burden (Hours)	75	0	17
Cost Burden (Dollars)	544	0	375

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Abstract: This information collection requirement is necessary to facilitate a timely response and appropriate resolution to inquiries from DoD sexual assault victims/survivors, support personnel and others. Collection of this information is used to support victims and survivors of sexual assault in their recovery and to maintain a database of inquiries that documents the nature and status of inquiries in order to provide adequate follow-up services and inform sexual assault prevention and response program and policy improvements while promoting victim recovery.

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Authorizing Statute(s): US Code: 10 USC 1561 Name of Law: Improved Sexual Assault Prevention and Response in the Armed Forces
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	84 FR 19057	05/03/2019
30-day Notice:	Federal Register Citation:	Citation Date:
	84 FR 36091	07/26/2019
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
DoD Sexual Assault Prevention and Response Office Victim-Related Inquiries	DD Form 2985-1, DD Form 2985	DoD Sexual Assault Prevention and Response Office (SAPRO) Request for SAPRO's Assistance ,   Department of Defense Sexual Assault Prevention and Response Office (SAPRO) Military Feedback Form

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ICR Summary of Burden

	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	150	33	0	0	117	0
Annual Time Burden (Hours)	75	17	0	0	58	0
Annual Cost Burden (Dollars)	544	375	0	0	169	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

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Annual Cost to Federal Government: $120,536

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     Yes

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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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:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(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;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

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.

Certification Date: 07/31/2019

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