Violence and Victimization Experiences of Indian Women Living in Tribal Communities Project

Forms and Documents

Document Name	Status
Violence and Victimization Experiences of Indian Women Living in Tribal Communities (VVEIWLTC) Study Form	New
OMB Attachment A VAWA Sec 904(a).doc Supplementary Document	2011-06-15
revised OMB Supporting Statement B_11012011.docx Supporting Statement B	2011-11-02
revised OMB Supporting Statement A_11012011.docx Supporting Statement A	2011-11-02

IC Document Collections

IC ID	Document Title	Status
197507	Violence and Victimization Experiences of Indian Women Living in Tribal Communities (VVEIWLTC) Study Form	New

ICR Details

OMB Control No: 1121-0332	ICR Reference No: 201104-1121-004
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: DOJ/OJP	Agency Tracking No: NIJ
Title: Violence and Victimization Experiences of Indian Women Living in Tribal Communities Project
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 11/02/2011
	Date Received in OIRA: 06/15/2011
Terms of Clearance: Following completion of this pilot OMB requests to review the pilot reports including a summary of the sampling evaluation, the cognitive lab findings, and instrument logistics analysis, etc. DOJ advised it intends to provide OMB the results of the pilot study (all components—pilot sites 1, 2 & 3) in writing to OMB as well as conduct a briefing with OMB before proceeding with a full scale study. DOJ anticipates a briefing in early March 2012 with final evaluation documents mid March 2012.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	12/31/2012	36 Months From Approved
Responses	450	0	0
Time Burden (Hours)	450	0	0
Cost Burden (Dollars)	0	0	0

---

Abstract: Under Public law 19-162, The National Institute of Justice (NIJ), Office of Justice Programs (OJP), would request information on violence against American Indian (AI)and Alaska Native Women (AN)from AI and AN women living in tribal reservations and in Alaska Native villages in orde to conduct a pilot study.

---

Authorizing Statute(s): PL: Pub.L. 19 - 162 904(a) Name of Law: Violence Against Women Act of 2005
  

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:
	76 FR 9813	02/22/2011
30-day Notice:	Federal Register Citation:	Citation Date:
	76 FR 24053	04/29/2011
Did the Agency receive public comments on this ICR? Yes

---

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

IC Title	Form No.	Form Name
Violence and Victimization Experiences of Indian Women Living in Tribal Communities (VVEIWLTC) Study	none	Violence and Victimization Experiences of Indian Women Living in Tribal Communities (VVEIWLTC) Study

---

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	450	0	0	450	0	0
Annual Time Burden (Hours)	450	0	0	450	0	0
Annual Cost Burden (Dollars)	0	0	0	0	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 is a new collection. Under Public law 19-162, The National Institute of Justice (NIJ), Office of Justice Programs (OJP), would request information on violence against American Indian (AI)and Alaska Native Women (AN)from AI and AN women living in tribal reservations and in Alaska Native villages in order to conduct a pilot study.

---

Annual Cost to Federal Government: $399,948

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? 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? Uncollected

---

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: 06/15/2011

---