Information Collection

National Census of Victim Service Providers

IC 220887 under ICR 201604-1121-001 · OMB 1121-0355.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1121-0355 can be found here:

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	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

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 Agency Discretion
Annual Number of Responses for this IC	31,000	31,000
Annual IC Time Burden (Hours)	9,171	9,171
Annual IC Cost Burden (Dollars)	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.