Information Collection

Cognitive Testing of the Campus Climate Survey Validation Study

IC 214235 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⚠️ Notice: This information collection may be referencing outdated material.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 Campus Climate Survey Validation Study	Form and Instruction
Campus Climate Survey -- InPerson Cognitive Interview Pr CCS_InPerson_Cognitive_Interview_Protocol_FINAL for OMB 1-12-15.pdf	Form and Instruction
Campus Climate Survey - Cognitive Testign Protocol for C CCS_Crowdsourcing_Cognitive_Interview_Protocol_FINAL for OMB 1-12-15.pdf	Form and Instruction
Approval Notice 13633 Amend 12-01-14.pdf IRB approval for CCSVS	IC Document
CCSVS_memo.docx Campus Climate Survey Memo to OMB	IC Document

IC Title:

Cognitive Testing of the Campus Climate Survey Validation Study

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	Campus Climate Survey - Cognitive Testign Protocol for Crowdsourcing	CCS_Crowdsourcing_Cognitive_Interview_Protocol_FINAL for OMB 1-12-15.pdf		Yes	Yes	Fillable Fileable
Form and Instruction	N/A	Campus Climate Survey -- InPerson Cognitive Interview Protocol FINAL	CCS_InPerson_Cognitive_Interview_Protocol_FINAL for OMB 1-12-15.pdf		Yes	Yes	Fillable Fileable

Line of Business: Law Enforcement

Subfunction: Crime Prevention

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 660

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	660	660
Annual IC Time Burden (Hours)	115	115
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
IRB approval for CCSVS	Approval Notice 13633 Amend 12-01-14.pdf	12/12/2014
Campus Climate Survey Memo to OMB	CCSVS_memo.docx	01/13/2015

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