Information Collection

National Crime Victimization Survey

IC 12401 under ICR 201110-1121-001 · OMB 1121-0111.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1121-0111 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form NCVS-594 National Crime Victimization Survey 594 spanish National Crime Victimization Survey	Form
Form NCVS-500 Control Card National Crime Victimization Survey	Form
Form NCVS-1 Basic Screen Questionnaire National Crime Victimization Survey	Form
Form NCVS-2 Incident Report National Crime Victimization Survey	Form
Form NCVS-541 Reinterview Basic Screen Questionnaire National Crime Victimization Survey	Form
Form NCVS-1 (SP) NCVS-1 Basic Screen Questionnaire SP National Crime Victimization Survey	Form
Form NCVS-2 SP NCVS-2 Incident Report Questionnaire - SP National Crime Victimization Survey	Form
Offender Characteristics Questions National Crime Victimization Survey	Form
NCVS-110_Fact_Sheet[1].pdf	Instruction
NCVS-522(I)_Trainers_Guide[1].pdf	Instruction
NCVS-522.1_ClassroomWorkbook[1].pdf	Instruction
NCVS-546_reinterview_manual[1].pdf	Instruction
NCVS-547_reinterview_self-study[1].pdf	Instruction
NCVS-550_At_a_Glance[1].pdf	Instruction
NCVS-554_capi_info_booklet[1].pdf	Instruction
NCVS-570_RO_MANUAL[2].pdf	Instruction
NCVS-594 National Crime Victimization Survey 594 spanish NCVS-594 (SP).pdf	Form
NCVS-500 Control Card NCVS_control_card[1].pdf	Form
NCVS-1 Basic Screen Questionnaire NCVS-1_screener_booklet[1].pdf	Form
NCVS-2 Incident Report NCVS-2_incident_booklet[1].txt	Form
NCVS-541 Reinterview Basic Screen Questionnaire NCVS-541_Reinterview_Screener[1].pdf	Form
NCVS-1 (SP) NCVS-1 Basic Screen Questionnaire SP NCVS1_Items_Booklet_2008_July_Spanish.doc	Form
NCVS-2 SP NCVS-2 Incident Report Questionnaire - SP NCVS2_Items_Booklet_2008_July_Spanish.rtf	Form
Offender Characteristics Questions Offender characteristics questions 10-13-2011 .rtf	Form
NCVS-572(L)_intro_letter.pdf NCVS-572 Introduction Letter	IC Document
NCVS-572(L)CHIN-S_intro_letter.pdf NCVS-572 Chinese Simplified Intro Letter	IC Document
NCVS-572(L)CHIN-T_intro_letter.pdf NCVS Chinese Traditional Intro Letter	IC Document
NCVS-572(L)KOR_intro_letter.pdf NCVS-572 (L) Korean Introduction Letter	IC Document
NCVS-572(L)SP_intro_letter.pdf NCVS-572 L Spanish Intro Letter	IC Document
NCVS-572(L)VIET_intro_letter.pdf NCVS-572 (L) Vietnamese Intro Letter	IC Document
NCVS-573(L)_return_letter[1].pdf NCVS(L) Follow-Up Letter	IC Document
NCVS-573(L)SP_return_letter[1].pdf NCVS-573(L)SP Spanish Follow-Up Letter	IC Document
NCVS-593(L)_thank_you_letter[1].pdf NCVS-593(L) Thank you Letter	IC Document
NCVS-594(L)_final_letter[1].pdf NCVS-594(L) Final Letter	IC Document
NCVS-594(L)SP_final_letter[1].pdf NCVS-594(L) SP Spanish Letter	IC Document
NCVS-593(L)SP_thank you_letter[1].pdf NCVS-593(L) SP Spanish Thank You Letter	IC Document
NCVS Screenshot of OMB Number.wpd NCVS Survey Notice	IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

National Crime Victimization Survey

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	NCVS-594	Yes	Yes	Fillable Fileable
Form	NCVS-500	Yes	Yes	Fillable Fileable
Form	NCVS-1	Yes	Yes	Fillable Fileable
Form	NCVS-2	Yes	Yes	Fillable Fileable
Form	NCVS-541	Yes	Yes	Fillable Fileable
Instruction		Yes	Yes	Fillable Fileable
Instruction		Yes	Yes	Fillable Fileable
Instruction		Yes	Yes	Fillable Fileable
Instruction		Yes	Yes	Fillable Fileable
Instruction		Yes	Yes	Fillable Fileable
Instruction		Yes	Yes	Fillable Fileable
Instruction		Yes	Yes	Fillable Fileable
Instruction		Yes	Yes	Fillable Fileable
Form	NCVS-1 (SP)	Yes	Yes	Fillable Fileable
Form	NCVS-2 SP	Yes	Yes	Fillable Fileable
Form	None	Yes	Yes	Fillable Fileable

Federal Enterprise Architecture Business Reference Module

Line of Business: Law Enforcement

Subfunction: Crime Prevention

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 104,202

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	208,404	208,404
Annual IC Time Burden (Hours)	69,542	69,542
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
NCVS-572 Introduction Letter		06/22/2009
NCVS-572 Chinese Simplified Intro Letter		06/22/2009
NCVS Chinese Traditional Intro Letter		06/22/2009
NCVS-572 (L) Korean Introduction Letter		06/22/2009
NCVS-572 L Spanish Intro Letter		06/22/2009
NCVS-572 (L) Vietnamese Intro Letter		06/22/2009
NCVS(L) Follow-Up Letter		06/22/2009
NCVS-573(L)SP Spanish Follow-Up Letter		06/22/2009
NCVS-593(L) Thank you Letter		06/22/2009
NCVS-594(L) Final Letter		06/22/2009
NCVS-594(L) SP Spanish Letter		06/22/2009
NCVS-593(L) SP Spanish Thank You Letter		06/22/2009
NCVS Survey Notice		06/30/2009

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

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