Information Collection

Cognitive Testing under the NCVS Redesign Generic Clearance

IC 204721 under ICR 201204-1121-002 · OMB 1121-0325.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1121-0325 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Cognitive Testing under the NCVS Redesign Generic Clearance	Form and Instruction
ACASI and Telephone Screeners and Detailed Incidient Cog Appendix OMB Cognitive interviews 11-1-12 docx.docx	Form and Instruction
Appendix OMB Cognitive interviews 11-1-12 docx.docx Appendix A-J with Table of Contents	IC Document
RSA OMB cover memo 12-18-12 docx.docx Cover Memo for Cognitive Testing Request	IC Document
RSA Appendices for cognitive interviews 12-18-12.docx Supplemental materials for cognitive interview	IC Document
RSA BJS passback response 12-18-2012.docx passback Q and A	IC Document
FlowChartFigure 1_V3 pdf.pdf flow chart	IC Document

IC Title:

Cognitive Testing under the NCVS Redesign Generic Clearance

Agency IC Tracking Number:

BJS

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	N/A	ACASI and Telephone Screeners and Detailed Incidient Cognitive Interview Protocols	Appendix OMB Cognitive interviews 11-1-12 docx.docx		Yes	Yes	Fillable Fileable

Line of Business: Law Enforcement

Subfunction: Crime Prevention

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 130

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	300	300
Annual IC Time Burden (Hours)	259	259
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Appendix A-J with Table of Contents	Appendix OMB Cognitive interviews 11-1-12 docx.docx	11/06/2012
Cover Memo for Cognitive Testing Request	RSA OMB cover memo 12-18-12 docx.docx	12/21/2012
Supplemental materials for cognitive interview	RSA Appendices for cognitive interviews 12-18-12.docx	12/21/2012
passback Q and A	RSA BJS passback response 12-18-2012.docx	12/21/2012
flow chart	FlowChartFigure 1_V3 pdf.pdf	12/21/2012

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.