Information Collection

Cognitive Testing of the Campus Climate Survey Validation Study

IC 214235 under ICR 201503-1121-001 · 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⚠️ Notice: This information collection may be referencing outdated material.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: Unchanged

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 -- InPerson Cognitive Interview Protocol FINAL	CCS_InPerson_Cognitive_Interview_Protocol_FINAL for OMB 1-12-15.pdf		Yes	Yes	Fillable Fileable
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

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
	Requested	Previously Approved
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.