View Information Collection (IC)

View Information Collection (IC)

View Information Collection (IC)

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

Federal Enterprise Architecture Business Reference Module

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	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	225	0	0	0	0	225
Annual IC Time Burden (Hours)	195	0	0	0	0	195
Annual IC Cost Burden (Dollars)	0	0	0	0	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.