Information Collection

National Census of Victim Service Providers

IC 260566 under ICR 202306-1121-001 · OMB 1121-0355.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
National Census of Victim Service Providers	Form and Instruction
National Census of Victim Service Providers 2023 NCVSP instrument_06.06.23.pdf	Form and Instruction
National Census of Victim Service Providers 2023 NCVSP instrument_06.06.23.pdf	Form and Instruction
2023 NCVSP Attachments_06.06.23.pdf NCVSP Supporting Attachments	IC Document
2023 NCVSP Attachments_06.06.23.pdf NCVSP Supporting Attachments	IC Document

IC Title:

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	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	N/A	National Census of Victim Service Providers	2023 NCVSP instrument_06.06.23.pdf		Yes	Yes	Fillable Fileable

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 20,000

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 95 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	20,000	20,000
Annual IC Time Burden (Hours)	8,750	8,750
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
NCVSP Supporting Attachments	2023 NCVSP Attachments_06.06.23.pdf	06/07/2023

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