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Cognitive Testing under the National Crime Victimization Survey (NCVS) Redesign Generic Clearance
Research to support the National Crime Victimization Survey (NCVS)
OMB: 1121-0325
IC ID: 222169
OMB.report
DOJ/OJP
OMB 1121-0325
ICR 201510-1121-007
IC 222169
( )
Documents and Forms
Document Name
Document Type
Cognitive Testing under the National Crime Victimization Survey (NCVS) Redesign Generic Clearance
Form and Instruction
Screener Testing Instrument and Protocol
Attachment A - Instruments and Protocols.docx
Form and Instruction
Preliminary Crime Incident Report Items For Cognitive Te
Attachment C - Crime Incident Report Items.docx
Form and Instruction
NCVS Redesign - Memo requesting clearance for cognitive testing 6.23.16.docx
Memo to OMB on Cognitive Testing for NCVS Redesign
IC Document
NCVS Redesign - OMB memo attachments combined.pdf
Cognitive Testing for NCVS Redesign Attachments
IC Document
NCVS Redesign - Memo requesting clearance for cognitive testing 080116.docx
Revised Memo to OMB on Cognitive Testing for NCVS Redesign
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Cognitive Testing under the National Crime Victimization Survey (NCVS) Redesign Generic Clearance
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
Screener Testing Instrument and Protocol
Attachment A - Instruments and Protocols.docx
Yes
Yes
Fillable Fileable
Form and Instruction
N/A
Preliminary Crime Incident Report Items For Cognitive Testing
Attachment C - Crime Incident Report Items.docx
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Law Enforcement
Subfunction:
Crime Prevention
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
490
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
80 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
490
0
490
0
0
0
Annual IC Time Burden (Hours)
160
0
160
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Memo to OMB on Cognitive Testing for NCVS Redesign
NCVS Redesign - Memo requesting clearance for cognitive testing 6.23.16.docx
06/23/2016
Cognitive Testing for NCVS Redesign Attachments
NCVS Redesign - OMB memo attachments combined.pdf
06/23/2016
Revised Memo to OMB on Cognitive Testing for NCVS Redesign
NCVS Redesign - Memo requesting clearance for cognitive testing 080116.docx
08/02/2016
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.