OMB No. 1121-0292: Approval Expires 8/31/2024

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Welcome to the Survey of Sexual Victimization. As you may know, the Bureau of Justice Statistics (BJS) is tasked with annual data collection responsibilities under PREA. The Act requires BJS to "carry out, for each calendar year, a comprehensive statistical review and analysis of the incidence and effects of prison rape." In completing this task, BJS collects information on the characteristics of these incidents to aid correctional administrators in addressing the prevention, reporting, investigation, and prosecution of such incidents. We hope that you will take the time to complete this survey.

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For questions regarding this survey, contact:
Greta Clark
greta.b.clark@census.gov
Phone: 1-800-253-2078
Fax: 1-888-262-3974

U.S. Census Bureau Notice and Consent Warning

You are accessing a United States government computer system. This Census Bureau computer system is provided for the collection of survey information. Any information you enter into this system is confidential. It may be used by the Census Bureau for statistical purpose. If you want to know more about how your privacy is protected, visit our online privacy webpage at https://www.census.gov/about/policies/privacy/privacy-policy.html

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You must have the Adobe Acrobat reader installed to view and print the survey form.
SSV-1 (size 152kb)   Federal Bureau of Prisons
SSV-2 (size 153kb)   State Prison Systems
SSV-3 (size 157kb)   Local Jail Jurisdictions
SSV-4 (size 143kb)   Other Correctional Facilities
SSV-5 (size 145kb)   State Juvenile Systems
SSV-6 (size 145kb)   Locally or Privately-Operated Juvenile Facilities
SSV-IA (size 171kb)       Adult Incident Form
SSV-IJ (size 152kb)   Juvenile Incident Form