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National Census of Victim Service Providers
National Census of Victim Service Providers, 2016
OMB: 1121-0355
IC ID: 220887
OMB.report
DOJ/OJP
OMB 1121-0355
ICR 201604-1121-001
IC 220887
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1121-0355 can be found here:
2023-06-21 - Reinstatement without change of a previously approved collection
Documents and Forms
Document Name
Document Type
National Census of Victim Service Providers
Form and Instruction
Primary National Census of Victim Service Providers
3a_NCVSP_Primary.pdf
Form and Instruction
Secondary National Census of Victim Service Providers
3b_NCVSP_Secondary.pdf
Form and Instruction
Incidental National Census of Victim Service Providers
3c_NCVSP_Incidental.pdf
Form and Instruction
NCVCP_OMBAttachments_Final.pdf
NCVSP Attachments with table of contents
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
National Census of Victim Service Providers
Agency IC Tracking Number:
BJS
Is this a Common Form?
No
IC Status:
New
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
Primary National Census of Victim Service Providers
3a_NCVSP_Primary.pdf
Yes
Yes
Fillable Fileable
Form and Instruction
n/a
Secondary National Census of Victim Service Providers
3b_NCVSP_Secondary.pdf
Yes
Yes
Fillable Fileable
Form and Instruction
n/a
Incidental National Census of Victim Service Providers
3c_NCVSP_Incidental.pdf
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Law Enforcement
Subfunction:
Citizen Protection
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
31,000
Number of Respondents for Small Entity:
0
Affected Public:
State, Local, and Tribal Governments
Percentage of Respondents Reporting Electronically:
90 %
Approved
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
31,000
0
31,000
0
0
0
Annual IC Time Burden (Hours)
9,171
0
9,171
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
NCVSP Attachments with table of contents
NCVCP_OMBAttachments_Final.pdf
04/05/2016
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.