Information Collection

NCVS Redesign and Testing Project Cognitive and Pilot Test

IC 236211 under ICR 201902-1121-003 · 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⚠️ Notice: This information collection may be referencing outdated material.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
NCVS Redesign and Testing Project Cognitive and Pilot Test	Form and Instruction
NCVS - Control Version Attachment 11_Condition 1_Control.pdf	Form and Instruction
NCSC PHP Redesign Attachment 12_Condition 2_Redesign_052819.pdf	Form and Instruction
NCVS redesign pilot test - Memo requesting generic clearance_with cog testing update 5.28.19.docx Memo to OMB on Cognitive and Pilot Test for NCVS Redesign	IC Document
NCVS redesign pilot test & cognitive testing generic clearance attachments.pdf NCVS Redesign Generic Clearance Attachments with Table of Contents	IC Document

IC Title:

NCVS Redesign and Testing Project Cognitive and Pilot Test

Agency IC Tracking Number:

BJS

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	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	N/A	NCVS - Control Version	Attachment 11_Condition 1_Control.pdf		Yes	Yes	Fillable Fileable
Form and Instruction	N/A	NCSC PHP Redesign	Attachment 12_Condition 2_Redesign_052819.pdf		Yes	Yes	Fillable Fileable

Line of Business: Law Enforcement

Subfunction: Crime Prevention

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 215

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	215	215
Annual IC Time Burden (Hours)	106	106
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Memo to OMB on Cognitive and Pilot Test for NCVS Redesign	NCVS redesign pilot test - Memo requesting generic clearance_with cog testing update 5.28.19.docx	05/28/2019
NCVS Redesign Generic Clearance Attachments with Table of Contents	NCVS redesign pilot test & cognitive testing generic clearance attachments.pdf	05/28/2019

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