Form SSV-1 SSV Federal Bureau of Prisons Summary Form

OMB No. 1121-0292: Approval Expires 02/28/2011
U.S. DEPARTMENT OF JUSTICE

SSV-1

FORM
(4-2-2010)

BUREAU OF JUSTICE STATISTICS

SURVEY OF SEXUAL VIOLENCE, 2009
— Federal Bureau of Prisons
Summary Form

AND ACTING AS COLLECTION AGENT

U.S. DEPT. OF COMMERCE
Economics and Statistics Administration

U.S. CENSUS BUREAU

DATA SUPPLIED BY

TELEPHONE
E-MAIL
ADDRESS

City

Number and street or P.O. Box/Route Number
Area code

Number

FAX
NUMBER

State

▼

OFFICIAL
ADDRESS

Title

▼▼▼

Name

Area Code

ZIP Code
Number

(Please correct any error in name, mailing address, and ZIP Code)

What facilities are included in this data collection?
All confinement facilities operated by the Federal Bureau of
Prisons.
• INCLUDE prisons, penitentiaries, and correctional
institutions; boot camps; community correction facilities;
halfway houses; prison farms; reception, diagnostic, and
classification centers; road camps; forestry and
conservation camps; vocational training facilities; prison
hospitals; and drug and alcohol treatment facilities for
prisoners.
• EXCLUDE privately-operated facilities. (These
facilities will be contacted directly for data on
sexual violence.)
What inmates and incidents are included in this
data collection?
Inmates under your custody between January 1, 2009, and
December 31, 2009.
• INCLUDE incidents involving inmates under the
authority, custody, or care of your confinement or
community-based facilities or staff.
• EXCLUDE incidents involving inmates held in
local jails and facilities in other jurisdictions.

Reporting instructions:
•
•

Please complete the entire SSV-1 Form.
If the answer to a question is "not available" or "unknown,"
write "DK" (do not know) in the space provided.
• If the answer to a question is "not applicable," write "NA"
in the space provided.
• If the answer to a question is "none" or "zero," mark the box
( x ) provided.
Substantiated incidents of sexual violence:
• Please complete an Incident Form (Adult, SSV-IA)
for each substantiated incident of sexual violence.
Returning forms:
• If you need assistance, please call Greta Clark at the
U.S. Census Bureau toll–free at 1–800–253–2078, or
e-mail govs.ssv@census.gov
• Please return your completed questionnaire and
substantiated incident forms by August 2, 2010.
• If you prefer, you may also return these forms by
mail or fax.
• MAIL TO: U.S. Census Bureau, P.O. Box 5000,
Jeffersonville, IN 47199-5000
• FAX (TOLL FREE): 1–888–891–2099

Burden Statement
Under the Paperwork Reduction Act, we cannot ask you to respond to a collection of information unless it displays a currently valid OMB
control number. The burden of this collection is estimated to average 60 minutes per response, including reviewing instructions, searching
existing data sources, gathering necessary data, and completing and reviewing this form. Send comments regarding this burden estimate or
any aspect of this survey, including suggestions for reducing this burden, to the Director, Bureau of Justice Statistics, 810 Seventh Street,
NW, Washington, DC 20531. Do not send your completed form to this address.

Section I – INMATE–ON–INMATE SEXUAL VIOLENCE
DEFINITION OF SEXUAL VIOLENCE

1. Does the Federal Bureau of Prisons record
allegations of inmate-on-inmate
NONCONSENSUAL SEXUAL ACTS?
01

The definition of "rape" as required under the Prison Rape
Elimination Act of 2003 will be operationalized by
disaggregating sexual assault into two categories of
inmate-on-inmate SEXUAL VIOLENCE. These categories
reflect uniform definitions formulated by the National Center
for Injury Prevention and Control, in "Sexual Violence
Surveillance: Uniform Definitions and Recommended Data
Elements," Centers for Disease Control and Prevention. The
categories of inmate-on-inmate SEXUAL VIOLENCE are:

Yes ➔ a. Do you record all reported
occurrences, or only substantiated
ones?
01

All

02

Substantiated only

b. Do you record attempted
NONCONSENSUAL SEXUAL ACTS
or only completed ones?

NONCONSENSUAL SEXUAL ACTS:
Contact of any person without his or her consent, or of a
person who is unable to consent or refuse;
AND

02

No

01

Both attempted and completed

02

Completed only

➔ Please provide the definition used by the
Federal Bureau of Prisons for
inmate-on-inmate NONCONSENSUAL
SEXUAL ACTS in the space below. Use that
definition to complete Items 2 and 3.

• Contact between the penis and the vagina or the penis
and the anus including penetration, however slight;
OR
• Contact between the mouth and the penis, vagina, or
anus;
OR
• Penetration of the anal or genital opening of another
person by a hand, finger, or other object.
ABUSIVE SEXUAL CONTACTS:
Contact of any person without his or her consent, or of a
person who is unable to consent or refuse;

2. Between January 1, 2009, and December 31, 2009,
how many allegations of inmate-on-inmate
NONCONSENSUAL SEXUAL ACTS were reported?

Number reported
None
• If an allegation involved multiple victimizations,
count only once.

AND
• Intentional touching, either directly or through the
clothing, of the genitalia, anus, groin, breast, inner thigh,
or buttocks of any person.
• Exclude incidents in which the intent of the sexual
contact is to harm or debilitate rather than to sexually
exploit.

3. Of the allegations reported in Item 2, how
many were — (Please contact the agency or office
responsible for investigating allegations of sexual
violence in order to fully complete this form.)

a. Substantiated

......

None

• The event was investigated and determined to
have occurred.
b. Unsubstantiated

....

None

• Evidence was insufficient to make a final determination
that the event occurred.
c. Unfounded . . . . . . . . .

None

• The event was determined NOT to have occurred.
d. Investigation ongoing

None

• A final determination has not yet been made as to
whether the event occurred.
e. TOTAL (Sum of Items
3a through 3d) . . . . . . . . .

FORM SSV-1 (4-2-2010)

Page 2

None

Section II – STAFF SEXUAL MISCONDUCT
AND HARASSMENT

4. Does the Federal Bureau of Prisons record
allegations of inmate-on-inmate ABUSIVE
SEXUAL CONTACTS? (See definitions on page 2.)
01

Yes

DEFINITION OF STAFF SEXUAL MISCONDUCT

➔ Can these be counted separately from

The definition of STAFF SEXUAL MISCONDUCT is based on
"Training for Investigators of Staff Sexual Misconduct,"
prepared by the National Institute of Corrections. STAFF
SEXUAL MISCONDUCT includes any behavior or act of a
sexual nature directed toward an inmate by an employee,
volunteer, contractor, official visitor, or other agency
representative (exclude inmate family, friends, or other visitors).
Sexual relationships of a romantic nature between staff and
inmates are included in this definition.

allegations of NONCONSENSUAL
SEXUAL ACTS?
01
02
02

No

Yes
No ➔ Skip to Item 7.

➔ Please provide an explanation in the space
below and then skip to Item 7.

Consensual or nonconsensual sexual acts including:
• Intentional touching of the genitalia, anus, groin, breast,
inner thigh, or buttocks with the intent to abuse, arouse,
or gratify sexual desire;
OR
• Completed, attempted, threatened, or requested sexual
acts;
OR
• Occurrences of indecent exposure, invasion of privacy,
or staff voyeurism for sexual gratification.
DEFINITION OF STAFF SEXUAL HARASSMENT
5. Between January 1, 2009, and December 31, 2009,
how many allegations of inmate-on-inmate
ABUSIVE SEXUAL CONTACTS were reported?

The definition of STAFF SEXUAL HARASSMENT was also
developed by the National Institute of Corrections. STAFF
SEXUAL HARASSMENT includes repeated verbal statements
or comments of a sexual nature to an inmate by an employee,
volunteer, contractor, official visitor, or other agency
representative (exclude inmate family, friends, or other
visitors).

Number reported
None
• If an allegation involved multiple victimizations,
count only once.

• Demeaning references to gender or derogatory
comments about body or clothing;

6. Of the allegations reported in Item 5, how
many were — (Please contact the agency or office
responsible for investigating allegations of sexual
violence in order to fully complete this form.)

OR
• Repeated profane or obscene language or gestures.
7.

a. Substantiated . . . . . . .

None

Does the Federal Bureau of Prisons record
allegations of STAFF SEXUAL MISCONDUCT?
01

b. Unsubstantiated . . . . .

c. Unfounded . . . . . . . . . .

Yes

➔ Do you record all reported

occurrences, or only substantiated
ones?

None

None

02

No

01

All

02

Substantiated only

➔ Please provide an explanation in the space
below and then skip to Item 10.

d. Investigation ongoing .

None

e. TOTAL (Sum of Items
6a through 6d) . . . . . . . . .

None

FORM SSV-1 (4-2-2010)

Page 3

8. Between January 1, 2009, and
December 31, 2009, how many allegations of
STAFF SEXUAL MISCONDUCT were reported?

12. Of the allegations reported in Item 11, how
many were — (Please contact the agency or
office responsible for investigating allegations of
sexual violence in order to fully complete this form.)

Number reported
None
• If an allegation involved multiple victims or staff,
count only once.
9. Of the allegations reported in Item 8, how
many were — (Please contact the agency or
office responsible for investigating allegations of
sexual violence in order to fully complete this form.)

a. Substantiated . . . . . . .

b. Unsubstantiated . . . . .

c. Unfounded . . . . . . . . . .

a. Substantiated . . . . . . .

None

b. Unsubstantiated . . . . .

None

c. Unfounded . . . . . . . . . .

None

d. Investigation ongoing .

None

e. TOTAL (Sum of Items
12a through 12d) . . . . . . .

None

None

None

None
Section III – TOTAL OF SUBSTANTIATED
INCIDENTS OF SEXUAL VIOLENCE

d. Investigation ongoing .

None
13. What is the total number of substantiated
incidents reported in Items 3a, 6a, 9a, and 12a?

e. TOTAL (Sum of Items
9a through 9d) . . . . . . . . .

None

Total substantiated
incidents . . . . . . . . . . . . .

10. Does the Federal Bureau of Prisons record
allegations of STAFF SEXUAL HARASSMENT?
(See definitions on page 3.)
01

Yes

➔

02

No

Please complete an Incident Form (Adult,
SSV-IA) for each substantiated incident of
sexual violence.

➔ Can these allegations be counted

separately from allegations of STAFF
SEXUAL MISCONDUCT?
01

Yes

02

No

➔ Skip to Item 13.

➔ Please provide an explanation in the space
below and then skip to Item 13.

11. Between January 1, 2009, and
December 31, 2009, how many allegations
of STAFF SEXUAL HARASSMENT were
reported?
Number reported
None
• If an allegation involved multiple victims or staff,
count only once.
FORM SSV-1 (4-2-2010)

Page 4

None

NOTES