Information Collection

Cognitive Testing of the Questionnaire for National Survey of Victim Service Organizations (NSVSO)

IC 211661 under ICR 201211-1121-005 · OMB 1121-0339.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1121-0339 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Cognitive Testing of the Questionnaire for National Survey of Victim Service Organizations (NSVSO)	Form and Instruction
National Survey of VSO - Primary VSO Version Cognitive interview script_primaryvsos_final.docx	Form and Instruction
National Survey of VSO - Secondary VSO version Cognitive interview script_secondaryvsos_final.docx	Form and Instruction
National Survey of VSO - Other VSO version Cognitive interview script_othervsos_final.docx	Form and Instruction
NSVSO OMB Generic Clearance Memo - Cognitive Testing.docx NSVSO Cognitive Testing Memo	IC Document
Telephone Recruitment Script_draft.docx Telephone Script	IC Document

IC Title:

Cognitive Testing of the Questionnaire for National Survey of Victim Service Organizations (NSVSO)

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	Available Electronically?	Electronic Capability
Form and Instruction	N/A	National Survey of VSO - Primary VSO Version	Cognitive interview script_primaryvsos_final.docx	No	Paper Only
Form and Instruction	N/A	National Survey of VSO - Secondary VSO version	Cognitive interview script_secondaryvsos_final.docx	No	Paper Only
Form and Instruction	N/A	National Survey of VSO - Other VSO version	Cognitive interview script_othervsos_final.docx	No	Paper Only

Line of Business: Law Enforcement

Subfunction: Citizen Protection

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 18

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 50 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	18	18
Annual IC Time Burden (Hours)	27	27
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
NSVSO Cognitive Testing Memo	NSVSO OMB Generic Clearance Memo - Cognitive Testing.docx	05/20/2014
Telephone Script	Telephone Recruitment Script_draft.docx	05/20/2014

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