Information Collection

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

IC 211661 under ICR 201503-1121-003 · 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⚠️ Notice: This information collection may be referencing outdated material.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
National Survey of VSO - Primary VSO Version Cognitive Testing of the Questionnaire for National Survey of Victim Service Organizations (NSVSO)	Form and Instruction
National Survey of VSO - Secondary VSO version Cognitive Testing of the Questionnaire for National Survey of Victim Service Organizations (NSVSO)	Form and Instruction
National Survey of VSO - Other VSO version 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: Unchanged

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
	Requested	Previously Approved
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.