Information Collection

Violence and Victimization Experiences of Indian Women Living in Tribal Communities (VVEIWLTC) Study

IC 197507 under ICR 201104-1121-004 · OMB 1121-0332.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Violence and Victimization Experiences of Indian Women Living in Tribal Communities (VVEIWLTC) Study	Form
Violence and Victimization Experiences of Indian Women L OMB Attachment B Survey.docx Computer Assisted Personal Intevieeing (CAPI) system	Form
OMB Attachment A VAWA Sec 904(a).doc authorizing legislation	IC Document
OMB Attachment C Researchers' Workshop Participants.pdf Researchers Workshops Participants list	IC Document
OMB Attachment D Researchers' Workshop Agenda.pdf Researchers Workshop Agenda	IC Document
OMB Attachment E Researchers' Workshop Recommendations.pdf Researchers Workshop Recommendations	IC Document
OMB Attachment F Task Force Members.pdf Violence Against Indian Women in Indian Country Task Force members list	IC Document
OMB Attachment H 904 TF Recomendations.pdf Task Force recommendations	IC Document
Revised consent pilot 2 10282011.docx Revised Informed Consent form	IC Document
Revised lead letter pilot site3 11012011.docx Revised Lead letter	IC Document
RE NIJ Response to general questions posed regarding the VAIW pilot study currently under review.htm email traffic concerning changes to this collection	IC Document

IC Title:

Agency IC Tracking Number:

NIJ

Is this a Common Form? No

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	none	Violence and Victimization Experiences of Indian Women Living in Tribal Communities (VVEIWLTC) Study	OMB Attachment B Survey.docx	Computer Assisted Personal Intevieeing (CAPI) system	Yes	Yes	Fillable Fileable

Line of Business: Law Enforcement

Subfunction: Citizen Protection

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 450

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	450	450
Annual IC Time Burden (Hours)	450	450
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
authorizing legislation	OMB Attachment A VAWA Sec 904(a).doc	04/28/2011
Researchers Workshops Participants list	OMB Attachment C Researchers' Workshop Participants.pdf	04/28/2011
Researchers Workshop Agenda	OMB Attachment D Researchers' Workshop Agenda.pdf	04/28/2011
Researchers Workshop Recommendations	OMB Attachment E Researchers' Workshop Recommendations.pdf	04/28/2011
Violence Against Indian Women in Indian Country Task Force members list	OMB Attachment F Task Force Members.pdf	04/28/2011
Task Force recommendations	OMB Attachment H 904 TF Recomendations.pdf	04/28/2011
Revised Informed Consent form	Revised consent pilot 2 10282011.docx	11/01/2011
Revised Lead letter	Revised lead letter pilot site3 11012011.docx	11/01/2011
email traffic concerning changes to this collection	RE NIJ Response to general questions posed regarding the VAIW pilot study currently under review.htm	11/02/2011

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