View Information Collection Request (ICR) Package
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Please note that the OMB number and expiration date may not have been determined when this Information Collection Request and associated Information Collection forms were submitted to OMB. The approved OMB number and expiration date may be found by clicking on the Notice of Action link below.
View ICR - OIRA Conclusion
OMB Control No:
0703-0080
ICR Reference No:
202201-0703-001
Status:
Historical Active
Previous ICR Reference No:
Agency/Subagency:
DOD/NAVY
Agency Tracking No:
0703-PWSP
Title:
Personalized Web-based Sexual Assault Prevention for Service Members
Type of Information Collection:
New collection (Request for a new OMB Control Number)
Common Form ICR:
No
Type of Review Request:
Emergency
Approval Requested By:
02/04/2022
OIRA Conclusion Action:
Approved with change
Conclusion Date:
02/25/2022
Retrieve Notice of Action (NOA)
Date Received in OIRA:
01/26/2022
Terms of Clearance:
This collection is approved based on the revised materials provided by the Department. Should the Department want to use this collection for longer than 6 months, a 60 and 30 day notice should be published.
Inventory as of this Action
Requested
Previously Approved
Expiration Date
08/31/2022
6 Months From Approved
Responses
761
0
0
Time Burden (Hours)
360
0
0
Cost Burden (Dollars)
5,199
0
0
Abstract:
The aim of this study is to assist in the adaptation of an existing web-based sexual assault prevention program for college men and women, for use among the Navy population. Responses to the survey will provide information about the behavior and attitudes of Sailors regarding alcohol use and sexual assault. The results of the survey will impact the Department of the Navy by documenting the feasibility, acceptability, satisfaction, and utility of a multi-pronged, individually tailored, and easily distributed prevention program that addresses the large problem of sexual assault, and the associated effects of alcohol for Sailors. In the long-term, this research benefits the readiness of the force by producing an easily disseminated high-quality sexual assault prevention program that can be implemented in multiple military settings and sustain evaluation in a larger clinical trial. This research can also have a secondary impact on reducing hazardous alcohol use among service members and can prevent the occurrence of alcohol use problems and associated negative health sequelae in service members.
Emergency Justfication:
This information must be collected prior to the time periods established under 5 CFR Part 1320 of the regulations and this information collection is essential to ensure that this CDMRP-funded project is not delayed any further. This NHRC IRB-approved project was meeting scheduled milestones; however, is now behind schedule due to delays in receiving a determination from the Navy Survey Approval Office. Considering that the funding agency requires that specific project milestones are achieved by set dates, we are requesting an expedited approval of the survey to ensure that this project is not delayed further. If OMB emergency clearance is not granted, data necessary for the sexual assault prevention intervention development and adaption will not be available and will significantly affect study execution.
Authorizing Statute(s):
None
Citations for New Statutory Requirements:
None
Associated Rulemaking Information
RIN:
Stage of Rulemaking:
Federal Register Citation:
Date:
Not associated with rulemaking
Federal Register Notices & Comments
Did the Agency receive public comments on this ICR?
No
Number of Information Collection (IC) in this ICR:
2
IC Title
Form No.
Form Name
Interview and Focus Groups + Pre/Post Surveys
Sexual Assault Prevention in Service Members Normative Survey
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
761
0
0
761
0
0
Annual Time Burden (Hours)
360
0
0
360
0
0
Annual Cost Burden (Dollars)
5,199
0
0
5,199
0
0
Burden increases because of Program Change due to Agency Discretion:
Yes
Burden Increase Due to:
Miscellaneous Actions
Burden decreases because of Program Change due to Agency Discretion:
No
Burden Reduction Due to:
Short Statement:
This a new information collection with a new associated burden.
Annual Cost to Federal Government:
$8,064
Does this IC contain surveys, censuses, or employ statistical methods?
Yes
Part B of Supporting Statement
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.
No
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.
No
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?
No
Agency Contact:
Nicholas Schuff 757 817-7203 nicholas.a.schuff.ctr@mail.mil
Common Form ICR:
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:
(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:
01/26/2022
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