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Cognitive testing for the 2023 Survey of Sexual Victimization
Generic Clearance for Cognitive, Pilot and Field Studies for Bureau of Justice Statistics Data Collection Activities
OMB: 1121-0339
IC ID: 258114
OMB.report
DOJ/OJP
OMB 1121-0339
ICR 202409-1121-002
IC 258114
( )
Documents and Forms
Document Name
Document Type
Cognitive testing for the 2023 Survey of Sexual Victimization
Form and Instruction
Protocol for Cognitive Interview for 2023 Survey of Sexu
Attachment A_SSV Protocol for Cognitive Testing_Amended race and ethnicity.docx
Form and Instruction
Survey instrument
Attachment E. SSV Survey Instruments_Amended race and ethnicity.pdf
Form and Instruction
OMB Generic Clearance Request for SSV Cognitive Testing_Amended race and ethnicity.docx
Memo to OMB on SSV Cognitive Interview
IC Document
Attachments B to E.pdf
Attachments for Generic Clearance
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Cognitive testing for the 2023 Survey of Sexual Victimization
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
Protocol for Cognitive Interview for 2023 Survey of Sexual Victimization
Attachment A_SSV Protocol for Cognitive Testing_Amended race and ethnicity.docx
Yes
Yes
Fillable Fileable
Form and Instruction
N/A
Survey instrument
Attachment E. SSV Survey Instruments_Amended race and ethnicity.pdf
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Correctional Activities
Subfunction:
Criminal Incarceration
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
40
Number of Respondents for Small Entity:
0
Affected Public:
State, Local, and Tribal Governments
Percentage of Respondents Reporting Electronically:
90 %
Requested
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
40
0
0
0
0
40
Annual IC Time Burden (Hours)
40
0
0
0
0
40
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Memo to OMB on SSV Cognitive Interview
OMB Generic Clearance Request for SSV Cognitive Testing_Amended race and ethnicity.docx
02/13/2023
Attachments for Generic Clearance
Attachments B to E.pdf
02/13/2023
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.