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Unmoderated Cognitive Testing for the 2023 Survey of Sexual Victimization Incident Forms
Generic Clearance for Cognitive, Pilot and Field Studies for Bureau of Justice Statistics Data Collection Activities
OMB: 1121-0339
IC ID: 260058
OMB.report
DOJ/OJP
OMB 1121-0339
ICR 202409-1121-002
IC 260058
( )
Documents and Forms
Document Name
Document Type
Attachment A. Unmoderated Cognitive Testing Instrument.docx
Other-Survey
Memo_OMB Generic Clearance_SSV_Unmoderated Cognitive Testing_5.4.2023.docx
Memo to OMB for Unmoderated Cognitive Test of SSV instrument
IC Document
Attachment B. Consent Form.docx
Consent Form
IC Document
Attachment C. Participant recruitment email.docx
Recruitment email
IC Document
1121-0339 Gen IC Template.docx
1121-0339 Gen IC
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Unmoderated Cognitive Testing for the 2023 Survey of Sexual Victimization Incident Forms
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
Other-Survey
Attachment A. Unmoderated Cognitive Testing Instrument.docx
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:
100
Number of Respondents for Small Entity:
0
Affected Public:
State, Local, and Tribal Governments
Percentage of Respondents Reporting Electronically:
100 %
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
100
0
0
0
0
100
Annual IC Time Burden (Hours)
25
0
0
0
0
25
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Memo to OMB for Unmoderated Cognitive Test of SSV instrument
Memo_OMB Generic Clearance_SSV_Unmoderated Cognitive Testing_5.4.2023.docx
05/04/2023
Consent Form
Attachment B. Consent Form.docx
05/04/2023
Recruitment email
Attachment C. Participant recruitment email.docx
05/04/2023
1121-0339 Gen IC
1121-0339 Gen IC Template.docx
05/09/2023
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.