National Census of Victim Service Providers (NCVSP) Cognitive Test

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⚠️ Notice: This information collection may be referencing outdated material.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
National Census of Victim Service Providers (NCVSP) Cognitive Test Form and Instruction
NCVSP Draft Survey Instrument 2023 NCVSP draft survey instrument_12.15.22.pdf Form and Instruction
2023 NCVSP OMB Memo_12.07.22 final.docx NCVSP Cognitive Testing Memo IC Document
2023 NCVSP Attachments_12.15.22.pdf NCVSP Cog Test Attachments IC Document

Information Collection (IC) Details

IC Title:	National Census of Victim Service Providers (NCVSP) Cognitive Test	Agency IC Tracking Number:	BJS

IC Status: Unchanged

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	N/A	NCVSP Draft Survey Instrument	2023 NCVSP draft survey instrument_12.15.22.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: 225	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 80 %

	Requested	Previously Approved
Annual Number of Responses for this IC	225	225
Annual IC Time Burden (Hours)	195	195
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
NCVSP Cognitive Testing Memo	2023 NCVSP OMB Memo_12.07.22 final.docx	12/07/2022
NCVSP Cog Test Attachments	2023 NCVSP Attachments_12.15.22.pdf	12/15/2022

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