Information Collection

National Census of Victim Service Providers

IC 220887 under ICR 201604-1121-001 · OMB 1121-0355.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1121-0355 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
National Census of Victim Service Providers	Form and Instruction
Primary National Census of Victim Service Providers 3a_NCVSP_Primary.pdf	Form and Instruction
Secondary National Census of Victim Service Providers 3b_NCVSP_Secondary.pdf	Form and Instruction
Incidental National Census of Victim Service Providers 3c_NCVSP_Incidental.pdf	Form and Instruction
NCVCP_OMBAttachments_Final.pdf NCVSP Attachments with table of contents	IC Document

IC Title:

National Census of Victim Service Providers

Agency IC Tracking Number:

BJS

Is this a Common Form? No

IC Status: New

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?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	n/a	Primary National Census of Victim Service Providers	3a_NCVSP_Primary.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	n/a	Secondary National Census of Victim Service Providers	3b_NCVSP_Secondary.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	n/a	Incidental National Census of Victim Service Providers	3c_NCVSP_Incidental.pdf	Yes	Yes	Fillable Fileable

Line of Business: Law Enforcement

Subfunction: Citizen Protection

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 31,000

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 90 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	31,000	31,000
Annual IC Time Burden (Hours)	9,171	9,171
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
NCVSP Attachments with table of contents	NCVCP_OMBAttachments_Final.pdf	04/05/2016

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