Cognitive Testing for Campus Climate Victimization Survey

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

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1121-0339 can be found here:

Documents and Forms

Document Name Document Type
Cognitive Testing for Campus Climate Victimization Survey Form and Instruction
Student Perspectives and Experiences Survey (SPES) Instr Attachment A_Draft Campus Climate Victimization Survey_3.31.2025.pdf Form and Instruction
CCVS testing_OMB generic clearance request_03.31.25.docx Memo to OMB on CCVS IC Document
Generic Clearance IC Template 1121-0339_CCVS.docx GEN IC Template CCVS IC Document
All CCVS Attachments_05.07.25.pdf CCVS 2025 Attachments IC Document

Information Collection (IC) Details

IC Title:	Cognitive Testing for Campus Climate Victimization Survey	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
Form and Instruction	N/A	Student Perspectives and Experiences Survey (SPES) Instrument Campus Climate Design and Testing Study	Attachment A_Draft Campus Climate Victimization Survey_3.31.2025.pdf		Yes	Yes	Fillable Fileable

Line of Business: Law Enforcement

Subfunction: Crime Prevention

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 500	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 85 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	500	500
Annual IC Time Burden (Hours)	82	82
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Memo to OMB on CCVS	CCVS testing_OMB generic clearance request_03.31.25.docx	04/29/2025
GEN IC Template CCVS	Generic Clearance IC Template 1121-0339_CCVS.docx	04/02/2025
CCVS 2025 Attachments	All CCVS Attachments_05.07.25.pdf	05/07/2025

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