Field Test of Self-Administered Survey Modes

Research to support the National Crime Victimization Survey (NCVS)

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1121-0325 can be found here:

Documents and Forms

Document Name Document Type
Field Test of Self-Administered Survey Modes Form
Address Verification and Household Enumeration Questionn Attachment 3 CATI-CAPI Address Verif HH Enumeration Quex 2-9-2012.docx Form
Web Survey Attachment 5 Web Survey 2-9-2012.docx Form
Attachment_2_Cognitive_Test_Report.pdf Cognitive Test Report IC Document
Attachment_6_Literature_Review.pdf Literature Review IC Document
Attachment_7_SCV_Design_Development.pdf SCV Design Development IC Document
Attachment_8_Overview_of_SCV_Design.pdf Overview of SCV Design IC Document
Attachment_9_ABS_Sampling.pdf ABS Sampling IC Document
Attachment_10_Staff_Recruiting_Training_Monitoring.pdf Staff Recruiting and Training IC Document
Attachment_12_Data_Security.pdf Data Security IC Document
Attachment_13_Distressed_Respondent_Protocol.pdf Distressed Respondent Protocol IC Document
Attachment_14_References.pdf References IC Document
Attachment 1 Incentives 2-9-2012.docx Attachment 1 -- Incentives IC Document
Field Test OMB Memo 12-16-2011.docx Field Test Memo IC Document
NCVS mixed mode passback response 2-9-2012.docx Passback Q and A document IC Document
Attachment 4a CATI CAPI Screener 2-9-2012.pdf Attachment 4a CATI CAPI screener IC Document
Attachment 4b CATI CAPI Crime Incident Report 2-9-2012 .pdf Attachment 4b CATI CAPI incident report IC Document
Attachment 11 Contacting Addresses Gaining Cooperation 2-9-2012.pdf Attachment 11 -- contacting addresses/gaining cooperation IC Document

Information Collection (IC) Details

IC Title:	Field Test of Self-Administered Survey Modes	Agency IC Tracking Number:	BJS

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	None	Address Verification and Household Enumeration Questionnaire	Attachment 3 CATI-CAPI Address Verif HH Enumeration Quex 2-9-2012.docx		Yes	Yes	Fillable Fileable
Form	None	Web Survey	Attachment 5 Web Survey 2-9-2012.docx		Yes	Yes	Fillable Fileable

Line of Business: General Science and Innovation

Subfunction: Scientific and Technological Research and Innovation

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 6,125	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	6,125	6,125
Annual IC Time Burden (Hours)	1,786	1,786
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Cognitive Test Report	Attachment_2_Cognitive_Test_Report.pdf	12/22/2011
Literature Review	Attachment_6_Literature_Review.pdf	12/22/2011
SCV Design Development	Attachment_7_SCV_Design_Development.pdf	12/22/2011
Overview of SCV Design	Attachment_8_Overview_of_SCV_Design.pdf	12/22/2011
ABS Sampling	Attachment_9_ABS_Sampling.pdf	12/22/2011
Staff Recruiting and Training	Attachment_10_Staff_Recruiting_Training_Monitoring.pdf	12/22/2011
Data Security	Attachment_12_Data_Security.pdf	12/22/2011
Distressed Respondent Protocol	Attachment_13_Distressed_Respondent_Protocol.pdf	12/22/2011
References	Attachment_14_References.pdf	12/22/2011
Attachment 1 -- Incentives	Attachment 1 Incentives 2-9-2012.docx	02/21/2012
Field Test Memo	Field Test OMB Memo 12-16-2011.docx	02/21/2012
Passback Q and A document	NCVS mixed mode passback response 2-9-2012.docx	02/21/2012
Attachment 4a CATI CAPI screener	Attachment 4a CATI CAPI Screener 2-9-2012.pdf	02/21/2012
Attachment 4b CATI CAPI incident report	Attachment 4b CATI CAPI Crime Incident Report 2-9-2012 .pdf	02/21/2012
Attachment 11 -- contacting addresses/gaining cooperation	Attachment 11 Contacting Addresses Gaining Cooperation 2-9-2012.pdf	02/21/2012

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