CATCH Program

ICR 202107-0703-003

OMB: 0703-0069

Federal Form Document

Forms and Documents
Document
Name
Status
Form and Instruction
Modified
Supporting Statement A
2021-08-23
Supplementary Document
2021-07-30
Supplementary Document
2018-06-21
IC Document Collections
ICR Details
0703-0069 202107-0703-003
Received in OIRA 201806-0703-001
DOD/NAVY
CATCH Program
Revision of a currently approved collection   No
Regular 08/23/2021
  Requested Previously Approved
36 Months From Approved 08/31/2021
385 300
193 150
298 3,579

The form and website is for use by victims in restricted reports of sexual assault who wish to make certain information available to the Military Criminal Investigative Organizations (MCIO) while keeping the status of their report as restricted.

PL: Pub.L. 113 - 291 543 Name of Law: National Defense Authorization Act FY2015
  
None

Not associated with rulemaking

  86 FR 33695 06/25/2021
86 FR 47091 08/23/2021
No

2
IC Title Form No. Form Name
CATCH Program Website
RESTRICTED SEXUAL ASSAULT REPORT DRAFT FORM RESTRICTED SEXUAL ASSUALT REPORT

  Total Request 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 385 300 0 85 0 0
Annual Time Burden (Hours) 193 150 0 43 0 0
Annual Cost Burden (Dollars) 298 3,579 0 -3,281 0 0
Yes
Miscellaneous Actions
Yes
Using Information Technology
The burden hours have increased since the previous approval due to slight increases in respondents and increased estimated hourly wages.

$45,361
No
    Yes
    Yes
No
No
No
No
Ashley John 703 614-7583 ashley.john.ctr@navy.mil

  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.
08/23/2021


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