National Survey of Victim Service Providers Field Test of Questionnaire

Generic Clearance for Cognitive, Pilot and Field Studies for Bureau of Justice Statistics Data Collection Activities

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Document Name Document Type
National Survey of Victim Service Providers Field Test of Questionnaire Form and Instruction
NSVSP NSVSP Questionnaire.pdf Form and Instruction
NSVSP OMB Generic Clearance Memo - FieldTesting.docx Memo to OMB re: NCVP Field Test of Questionnaire IC Document
NEW Supplemental NSVSP Materials for OMB Submission 061715.pdf NSVP Instrument and supporting documents IC Document

Information Collection (IC) Details

IC Title:	National Survey of Victim Service Providers Field Test of Questionnaire	Agency IC Tracking Number:	BJS

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	N/A	NSVSP	NSVSP Questionnaire.pdf		Yes	Yes	Fillable Fileable

Line of Business: Law Enforcement

Subfunction: Citizen Protection

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 725	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	725	725
Annual IC Time Burden (Hours)	305	305
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Memo to OMB re: NCVP Field Test of Questionnaire	NSVSP OMB Generic Clearance Memo - FieldTesting.docx	06/18/2015
NSVP Instrument and supporting documents	NEW Supplemental NSVSP Materials for OMB Submission 061715.pdf	06/18/2015

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