Testing of Proposed Revisions to the Identity Theft Supplement for the NCVS

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⚠️ Notice: This information collection may be referencing outdated material.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
Testing of Proposed Revisions to the Identity Theft Supplement for the NCVS Form and Instruction
Appendix 2. Cognitive interview recruitment screener.docx Form and Instruction
Cognitive Test Protocol Appendix 4. Cognitive Interview Protocol.docx Form and Instruction
Online Questionnaire Appendix 5. Online testing instruments.docx Form and Instruction
1_ITS testing OMB generic clearance request_4.10.20.docx Memo to OMB on Identity Theft Supplement Test IC Document
Appendix 1. MTurk_HIT.docx Amazon Mechanical Turk Postin IC Document
Appendix 2. Cognitive interview recruitment screener.docx Cognitive Recruitment Screener IC Document
Appendix 3a. Informed consent_INTERVIEWER.docx Informed Consent Interview IC Document
Appendix 3b. Informed consent_PARTICIPANT.docx Informed Consent Participant IC Document
Appendix 4. Cognitive Interview Protocol.docx Cognitive Interview Protocol IC Document
Appendix 5. Online testing instruments.docx Online Testing Instruments IC Document
Appendix 6. Informed consent_online testing.docx Informed Consent online testing IC Document

Information Collection (IC) Details

IC Title:	Testing of Proposed Revisions to the Identity Theft Supplement for the NCVS	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	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	N/A	N/A	Appendix 2. Cognitive interview recruitment screener.docx	Yes	Yes	Fillable Fileable
Form and Instruction	N/A	Cognitive Test Protocol	Appendix 4. Cognitive Interview Protocol.docx	Yes	Yes	Fillable Fileable
Form and Instruction	N/A	Online Questionnaire	Appendix 5. Online testing instruments.docx	Yes	Yes	Fillable Fileable

Line of Business: Law Enforcement

Subfunction: Crime Prevention

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 31,530	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 95 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	31,530	31,530
Annual IC Time Burden (Hours)	2,640	2,640
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Memo to OMB on Identity Theft Supplement Test	1_ITS testing OMB generic clearance request_4.10.20.docx	04/13/2020
Amazon Mechanical Turk Postin	Appendix 1. MTurk_HIT.docx	04/13/2020
Cognitive Recruitment Screener	Appendix 2. Cognitive interview recruitment screener.docx	04/13/2020
Informed Consent Interview	Appendix 3a. Informed consent_INTERVIEWER.docx	04/13/2020
Informed Consent Participant	Appendix 3b. Informed consent_PARTICIPANT.docx	04/13/2020
Cognitive Interview Protocol	Appendix 4. Cognitive Interview Protocol.docx	04/13/2020
Online Testing Instruments	Appendix 5. Online testing instruments.docx	04/13/2020
Informed Consent online testing	Appendix 6. Informed consent_online testing.docx	04/13/2020

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