CJRP- JRFC Pilot Test

Generic Clearance for Cognitive, Pilot, and Field Studies for The Office of Juvenile Justice and Delinquency Prevention Data Collection Activities

Documents and Forms

Document Name Document Type
1121-0360 AppendixE-JFRC_Instrument.docx Other-
1121-0360 AppendixE-JFRC_Instrument.docx Other-
1121-0360 AppendixD-CJRP_Instrument_Revised.docx Other-
1121-0360 AppendixD-CJRP_Instrument_Revised.docx Other-
AppendixG-IRB_PrivacyCertificate (2).pdf Appendix G Privacy Certificate IC Document
AppendixG-IRB_PrivacyCertificate (2).pdf Appendix G Privacy Certificate IC Document
AppendixF-Confidentiality.pdf Appendix F- Confidentiality IC Document
AppendixF-Confidentiality.pdf Appendix F- Confidentiality IC Document
AppendixC-ExternalConsultants.docx Appendix C- External Consultants IC Document
AppendixC-ExternalConsultants.docx Appendix C- External Consultants IC Document
AppendixB-Contact_Materials-OMB_Revised (1).docx Appendix B IC Document
AppendixB-Contact_Materials-OMB_Revised (1).docx Appendix B IC Document
OMB Memo - CJRP- JRFC Pilot Test-OMB_Revised (1).docx Test Pilot IC Document
OMB Memo - CJRP- JRFC Pilot Test-OMB_Revised (1).docx Test Pilot IC Document
AppendixA-Acts (2).pdf Appendix A- Acts IC Document
AppendixA-Acts (2).pdf Appendix A- Acts IC Document
GEN IC (1121-0360) - CJRP- JRFC Pilot Test (1).docx 1121-0360 Gen IC IC Document
GEN IC (1121-0360) - CJRP- JRFC Pilot Test (1).docx 1121-0360 Gen IC IC Document

Information Collection (IC) Details

IC Title:	CJRP- JRFC Pilot Test	Agency IC Tracking Number:

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
Other-			1121-0360 AppendixE-JFRC_Instrument.docx		Yes	Yes	Fillable Fileable
Other-			1121-0360 AppendixD-CJRP_Instrument_Revised.docx		Yes	Yes	Fillable Fileable

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 360	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 50 %

	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	360	360
Annual IC Time Burden (Hours)	1,026	1,026
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Appendix G Privacy Certificate	AppendixG-IRB_PrivacyCertificate (2).pdf	12/13/2023
Appendix F- Confidentiality	AppendixF-Confidentiality.pdf	12/13/2023
Appendix C- External Consultants	AppendixC-ExternalConsultants.docx	12/13/2023
Appendix B	AppendixB-Contact_Materials-OMB_Revised (1).docx	12/13/2023
Test Pilot	OMB Memo - CJRP- JRFC Pilot Test-OMB_Revised (1).docx	12/13/2023
Appendix A- Acts	AppendixA-Acts (2).pdf	12/13/2023
1121-0360 Gen IC	GEN IC (1121-0360) - CJRP- JRFC Pilot Test (1).docx	12/13/2023

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