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:
0704-0482
ICR Reference No:
202412-0704-006
Status:
Active
Previous ICR Reference No:
202105-0704-001
Agency/Subagency:
DOD/DODDEP
Agency Tracking No:
Title:
Defense Sexual Assault Incident Reporting
Type of Information Collection:
Revision of a currently approved collection
Common Form ICR:
No
Type of Review Request:
Regular
OIRA Conclusion Action:
Approved with change
Conclusion Date:
07/22/2025
Retrieve Notice of Action (NOA)
Date Received in OIRA:
01/17/2025
Terms of Clearance:
This collection is approved based on the revised materials provided by the Department.
Inventory as of this Action
Requested
Previously Approved
Expiration Date
07/31/2028
36 Months From Approved
07/31/2025
Responses
8,247
0
8,247
Time Burden (Hours)
17,350
0
17,350
Cost Burden (Dollars)
456,465
0
456,495
Abstract:
Public Law 110-417 mandated the implementation of a centralized, case-level database for the collection, in a manner consistent with Department of Defense regulations for Unrestricted and Restricted Reporting, and maintenance of information regarding sexual assaults involving a member of the Armed Forces, including information, if available, about the nature of the assault, the victim, the offender, and case outcomes in connection with the assault. The law also required the database to be used to develop and implement congressional reports required by law.
Authorizing Statute(s):
PL:
Pub.L. 110 - 417 563
Name of Law: National Defense Authorization Act for Fiscal Year 2009
US Code:
10 USC 136
Name of Law: Under Secretary of Defense for Personnel and Readiness
US Code:
10 USC 3013
Name of Law: Secretary of the Army
US Code:
10 USC 5013
Name of Law: Secretary of the Navy
US Code:
32 USC 102
Name of Law: National Guard
EO: EO 9397 Name/Subject of EO: SSN
US Code:
10 USC 8013
Name of Law: Secretary of the Air Force
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
60-day Notice:
Federal Register Citation:
Citation Date:
89 FR 79571
09/30/2024
30-day Notice:
Federal Register Citation:
Citation Date:
90 FR 634
01/06/2025
Did the Agency receive public comments on this ICR?
No
Number of Information Collection (IC) in this ICR:
5
IC Title
Form No.
Form Name
Catch a Serial Offender Program Explanation and Notification Information for Sexual Assault Victims
DD Form 2910-4
CATCH A SERIAL OFFENDER PROGRAM EXPLANATION AND NOTIFICATION INFORMATION FOR SEXUAL ASSAULT VICTIMS
Defense Sexual Assault Incident Restricted Reporting
DD Form 2965, DD Form 2910
Defense Sexual Assault Incident Database (DSAID) Data Form
,
Victim Reporting Preference Statement
Defense Sexual Assault Incident Supplementary Reporting
DD Form 2910-1, DD Form 2910-2
Retaliation Reporting Statement for Unrestricted Sexual Assault Cases
,
Replacement of Lost DD Form 2910 Victim Reporting Preference Statement
Defense Sexual Assault Incident Unrestricted Reporting
DD Form 2965, DD Form 2910
Defense Sexual Assault Incident Database (DSAID) Data Form
,
Victim Reporting Preference Statement
Return of Victim's Personal Property in Restricted Reporting Sexual Assaults Cases Collected During a Sexual Assault Forensic Examination (SAFE)
DD Form 2910-3
Return of Victim’s Personal Property in Restricted Reporting Sexual Assaults Cases Collected During a Sexual Assault Forensic Examination (SAFE)
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
8,247
8,247
0
0
0
0
Annual Time Burden (Hours)
17,350
17,350
0
0
0
0
Annual Cost Burden (Dollars)
456,465
456,495
0
-30
0
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:
Annual Cost to Federal Government:
$516,377
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?
No
Agency Contact:
LaTarsha Yeargins 571 372-2089 latarsha.r.yeargins.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:
01/17/2025
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