Gen IC Template

Gen IC Template 1121-0339 CPDO frame building.docx

Generic Clearance for Cognitive, Pilot and Field Studies for Bureau of Justice Statistics Data Collection Activities

Gen IC Template

OMB: 1121-0339

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Request for new submission under the “Generic Clearance for Cognitive, Pilot and Field Studies for Bureau of Justice Statistics Data Collection Activities”

(OMB Control Number: 1121-0339)

TShape1 ITLE OF INFORMATION COLLECTION: Census of Public Defender Offices


PURPOSE:

The purpose of this generic request is to allow the project team to identify all public defender offices in the U.S. Identifying the universe of public defender offices will involve internet research and subsequent outreach calls.


DESCRIPTION OF RESPONDENTS:

State and county level public defender offices, local courts and prosecutor offices



TYPE OF COLLECTION: (Check one)


[ ] Customer Comment Card/Complaint Form [ ] Customer Satisfaction Survey

[ ] Usability Testing (e.g., Website or Software) [ ] Small Discussion Group

[ ] Focus Group [ x] Other: Frame building for future survey


CERTIFICATION:


I certify the following to be true:

  1. The collection is voluntary.

  2. The collection is low-burden for respondents and low-cost for the Federal Government.

  3. The collection is non-controversial and does not raise issues of concern to other federal agencies.

  4. The results are not intended to be disseminated to the public.

  5. Information gathered will not be used for the purpose of substantially informing influential policy decisions.

  6. The collection is targeted to the solicitation of opinions from respondents who have experience with the program or may have experience with the program in the future.


Name: Devon Adams

To assist review, please provide answers to the following question:


Personally Identifiable Information:

  1. Is personally identifiable information (PII) collected? [ ] Yes [X] No

  2. If Yes, will any information that is collected be included in records that are subject to the Privacy Act of 1974? [ ] Yes [ ] No

  3. If Yes, has an up-to-date System of Records Notice (SORN) been published? [ ] Yes [ ] No

Note: for any privacy related questions regarding your collection, please contact your component’s Senior Component Official for Privacy or the Office of Privacy and Civil Liberties.



Gifts or Payments:

Is an incentive (e.g., money or reimbursement of expenses, token of appreciation) provided to participants? [ ] Yes [X] No


If answering yes, you will also need to describe the incentive and provide a justification for the amount.



BURDEN HOURS:

In the provided table, list the following information in each row for the type or respondent for the collection and provide total figures at the bottom for the number of respondents, participation time, and burden.

  • Category of respondent – Provide the type or category of individual who will respond to your collection from the following list:

    • Individuals or Household

    • Private Sector

    • State, Local, or Tribal Governments

    • Federal Government

  • Number of Respondents – Estimate of the total number of respondents by type/category.

  • Participation Time – Estimate of the total amount of time (in minutes) required for participation in a collection by type/category of respondents (e.g. fill out a survey or participate in a focus group).

  • Burden – Estimate of the annual burden hours by type/category or respondents.

    • To determine this estimate, multiply the number of respondents by the participation time and divide that figure by 60.


Burden Table

Category of Respondent

No. of Respondents

Participation Time to complete form

Burden

State, Local or Tribal Governments

820

15 min.

205 hours









Totals

820

15 min.

205 hours



FEDERAL COST: The estimated annual cost to the Federal government is __$_4,997.97_____


If you are conducting a focus group, survey, or plan to employ statistical methods, please provide answers to the following questions:


The selection of your targeted respondents

  1. Do you have a customer list or something similar that defines the universe of potential respondents and do you have a sampling plan for selecting from this universe? [ ] Yes [X] No

If the answer is yes, please provide a description of both below (or attach the sampling plan)? If the answer is no, please provide a description of how you plan to identify your potential group of respondents and how you will select them?

The National Association of Public Defense (NAPD) will rely, initially, on their incomplete roster of public defender offices nationwide. NAPD staff will conduct outreach to their current contacts in each state to verify office leaders’ names and contact information and ask about other public defense offices in the state, region or county. In areas where NAPD has no established contacts, staff members will conduct web research and reach out to local courts or prosecutor offices to identify public defense offices.


Administration of the Instrument

  1. How will you collect the information? (Check all that apply)

[ X] Web-based or other forms of Social Media

[ X] Telephone

[ ] In-person

[ ] Mail

[ X] Other, Explain: Email

  1. Will interviewers or facilitators be used? [ ] Yes [ x] No


Submit all instruments, instructions, and scripts with the request.


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File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
File TitleFast Track PRA Submission Short Form
AuthorOMB
File Modified0000-00-00
File Created2024-09-20

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