OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Cognitive Testing under the National Crime Victimization Survey (NCVS) Redesign Crime Incident Report (CIR)

IC 225661 under ICR 201510-1121-007 · OMB 1121-0325.

Documents and Forms

Documents and forms in this information collection
Document NameDocument Type
NCVS-R: CIR COGNITIVE INTERVIEW PROTOCOL ROUND 1 Cognitive Testing under the National Crime Victimization Survey (NCVS) Redesign Crime Incident Report (CIR) Form and Instruction
NCVS-R: CIR COGNITIVE INTERVIEW PROTOCOL ROUND 2 Cognitive Testing under the National Crime Victimization Survey (NCVS) Redesign Crime Incident Report (CIR) Form and Instruction
NCVS-R Screener Round 1 Youth Testing Cognitive Testing under the National Crime Victimization Survey (NCVS) Redesign Crime Incident Report (CIR) Form and Instruction
NCVS-R: SCREENER COGNITIVE INTERVIEW YOUTH SCREENER TESTING PROTOCOL Long Cues Cognitive Testing under the National Crime Victimization Survey (NCVS) Redesign Crime Incident Report (CIR) Form and Instruction
NCVS-R: CIR COGNITIVE INTERVIEW PROTOCOL ROUND 1
Attachment A1_CIR Round 1.docx 		Form and Instruction
NCVS-R: CIR COGNITIVE INTERVIEW PROTOCOL ROUND 2
Attachment A2_CIR Round 2.docx 		Form and Instruction
NCVS-R Screener Round 1 Youth Testing
Attachment A3_Youth screener testing_long cues.docx 		Form and Instruction
NCVS-R: SCREENER COGNITIVE INTERVIEW YOUTH SCREENER TEST
Attachment A3A_Youth screener testing_long cues_protocol.docx 		Form and Instruction
NCVS Redesign CIR Cognitive Testing Attachments.pdf
CIR Cognitive Testing Attachments		IC Document
NCVS redesign - Memo requesting clearance for CIR cognitive testing 030117.docx
Memo Requesting Clearance for CIR Cognitive Testing		IC Document

Information Collection (IC) Details

View Information Collection (IC)

layout table

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 Yes Yes Fillable Fileable
Form and Instruction N/A Yes Yes Fillable Fileable
Form and Instruction N/A Yes Yes Fillable Fileable
Form and Instruction N/A Yes Yes Fillable Fileable

Federal Enterprise Architecture Business Reference Module


table that charts list of burden
  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 120 0 120 0 0 0
Annual IC Time Burden (Hours) 180 0 180 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Documents for IC
table that charts IC Documents
Title Document Date Uploaded
CIR Cognitive Testing Attachments 02/10/2017
Memo Requesting Clearance for CIR Cognitive Testing 03/02/2017
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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