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NCVS Companion Survey (CS)
Research to support the National Crime Victimization Survey (NCVS)
OMB: 1121-0325
IC ID: 201425
OMB.report
DOJ/OJP
OMB 1121-0325
ICR 201203-1121-001
IC 201425
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1121-0325 can be found here:
2015-10-27 - Reinstatement without change of a previously approved collection
2012-05-08 - Revision of a currently approved collection
Documents and Forms
Document Name
Document Type
NCVS Companion Survey (CS)
Form
Survey of Neighborhood Safety
Attachment E - Approach 2B Mail Screener.pdf
Form
Survey of Chicagoland Neighorhoods
Attachment F1 - Approach 2C Mail Screener (local version).pdf
Form
Survey of Neighborhoods
Attachment F2 - Approach 2C Mail Screener (generic version).pdf
Form
Appendix Bundle.docx
Appendix Bundle
IC Document
NCVS CS OMB Pilot Summary.docx
NCVS CS OMB Pilot Summary
IC Document
Attachment G - NCVS1 Core - Basic Screen Questionnaire.pdf
NCVS1 Core - Basic Screen Questionnaire
IC Document
Attachment H - NCVS2 Core - Crime Incident Report (2).pdf
NCVS2 Core - Crime Incident Report
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
NCVS Companion Survey (CS)
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
Survey of Neighborhood Safety
Attachment E - Approach 2B Mail Screener.pdf
No
Paper Only
Form
None
Survey of Chicagoland Neighorhoods
Attachment F1 - Approach 2C Mail Screener (local version).pdf
No
Paper Only
Form
None
Survey of Neighborhoods
Attachment F2 - Approach 2C Mail Screener (generic version).pdf
No
Paper Only
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:
14,549
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
0 %
Requested
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
14,549
0
14,549
0
0
0
Annual IC Time Burden (Hours)
4,228
0
4,228
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Appendix Bundle
Appendix Bundle.docx
03/06/2012
NCVS CS OMB Pilot Summary
NCVS CS OMB Pilot Summary.docx
03/06/2012
NCVS1 Core - Basic Screen Questionnaire
Attachment G - NCVS1 Core - Basic Screen Questionnaire.pdf
03/06/2012
NCVS2 Core - Crime Incident Report
Attachment H - NCVS2 Core - Crime Incident Report (2).pdf
03/06/2012
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.