Information Collection

Census of Prosecutors Cognitive Testing

IC 275119 under ICR 202411-1121-003 · OMB 1121-0339.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1121-0339 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
2024 Census of Prosecutor Offices Census of Prosecutors Cognitive Testing	Form and Instruction
2024 Census of Prosecutor Offices Attachment A - CPO instrument_4.30.25.pdf	Form and Instruction
CPO Generic Clearance CogTesting Memo_04.30.25.docx OMB Memo for CPO Cognitive Testing	IC Document
CPO Cog Testing OMB Package Attachments 5.1.25_v2.pdf CPO Cognitive Testing Attachments	IC Document
Gen IC Template 1121-0339 CPO Cog Testing.docx CPO Cog Test GEN IC Template	IC Document

IC Title:

Census of Prosecutors Cognitive Testing

Agency IC Tracking Number:

BJS

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				Yes	Yes	Fillable Fileable

Line of Business: Litigation and Judicial Activities

Subfunction: Legal Prosecution and Litigation

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 50

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 90 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	50	50
Annual IC Time Burden (Hours)	57	57
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
OMB Memo for CPO Cognitive Testing		05/06/2025
CPO Cognitive Testing Attachments		05/01/2025
CPO Cog Test GEN IC Template		05/01/2025

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

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