Information Collection Request

The National Intimate Partner and Sexual Violence Surveillance System (NISVSS)

ICR 200906-0920-020 · OMB 0920-0822 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
09AP SS-B.doc Supporting Statement B Uploaded 2009-06-08 Available
(NISVSS)_Att A2.VAWA 2005 reauthorization.pdf Supplementary Document Uploaded 2009-06-24 Available
(NISVSS)_Att A1.doc Supplementary Document Uploaded 2009-06-24 Available
(NISVSS)_Att H (Intr of Letter).doc Supplementary Document Uploaded 2009-06-11 Available
(NISVSS)_Att G (RTI agg).doc Supplementary Document Uploaded 2009-06-11 Available
(NISVSS)_Att F (IRB).pdf Supplementary Document Uploaded 2009-06-11 Available
(NISVSS)_Att E (IAA).pdf Supplementary Document Uploaded 2009-06-11 Available
(NISVSS)_Att D (consults 2).pdf Supplementary Document Uploaded 2009-06-11 Available
(NISVSS)_Att D (consults 1).doc Supplementary Document Uploaded 2009-06-11 Repair queued
(NISVSS)_Att B (60dFRN).pdf Supplementary Document Uploaded 2009-06-11 Available
(NISVSS)_Att A (authority).doc Supplementary Document Uploaded 2009-06-11 Available
09AP SS-A.doc Supporting Statement A Uploaded 2009-06-11 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
189767 National Intimate Partner and Sexual Violence Surveillance System (NISVSS) - Screen Other-WORD New
189766 National Intimate Partner and Sexual Violence Surveillance System - Survey Other-WORD New

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
09/30/2012 36 Months From Approved
108,318 0 0
18,249 0 0
0 0 0





Reginfo record details
2
table that charts list of burden
IC Title Form No. Form Name
National Intimate Partner and Sexual Violence Surveillance System (NISVSS) - Screen
National Intimate Partner and Sexual Violence Surveillance System - Survey

table that charts list of burden
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 108,318 0 0 108,318 0 0
Annual Time Burden (Hours) 18,249 0 0 18,249 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No