Information Collection

National Crime Victimization Survey

IC 12401 under ICR 201203-1121-005 · 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⚠️ Notice: This information collection may be referencing outdated material.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	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.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	NCVS-594	National Crime Victimization Survey 594 spanish	NCVS-594 (SP).pdf	Yes	Yes	Fillable Fileable
Form	NCVS-500	Control Card	NCVS_control_card[1].pdf	Yes	Yes	Fillable Fileable
Form	NCVS-1	Basic Screen Questionnaire	NCVS-1_screener_booklet[1].pdf	Yes	Yes	Fillable Fileable
Form	NCVS-2	Incident Report	NCVS-2_incident_booklet[1].txt	Yes	Yes	Fillable Fileable
Form	NCVS-541	Reinterview Basic Screen Questionnaire	NCVS-541_Reinterview_Screener[1].pdf	Yes	Yes	Fillable Fileable
Instruction			NCVS-110_Fact_Sheet[1].pdf	Yes	Yes	Fillable Fileable
Instruction			NCVS-522(I)_Trainers_Guide[1].pdf	Yes	Yes	Fillable Fileable
Instruction			NCVS-522.1_ClassroomWorkbook[1].pdf	Yes	Yes	Fillable Fileable
Instruction			NCVS-546_reinterview_manual[1].pdf	Yes	Yes	Fillable Fileable
Instruction			NCVS-547_reinterview_self-study[1].pdf	Yes	Yes	Fillable Fileable
Instruction			NCVS-550_At_a_Glance[1].pdf	Yes	Yes	Fillable Fileable
Instruction			NCVS-554_capi_info_booklet[1].pdf	Yes	Yes	Fillable Fileable
Instruction			NCVS-570_RO_MANUAL[2].pdf	Yes	Yes	Fillable Fileable
Form	NCVS-1 (SP)	NCVS-1 Basic Screen Questionnaire SP	NCVS1_Items_Booklet_2008_July_Spanish.doc	Yes	Yes	Fillable Fileable
Form	NCVS-2 SP	NCVS-2 Incident Report Questionnaire - SP	NCVS2_Items_Booklet_2008_July_Spanish.rtf	Yes	Yes	Fillable Fileable
Form	None	Offender Characteristics Questions	Offender characteristics questions 10-13-2011 .rtf	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	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	208,404	0	208,404
Annual IC Time Burden (Hours)	67,657	-1,885	69,542
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
NCVS-572 Introduction Letter	NCVS-572(L)_intro_letter.pdf	06/22/2009
NCVS-572 Chinese Simplified Intro Letter	NCVS-572(L)CHIN-S_intro_letter.pdf	06/22/2009
NCVS Chinese Traditional Intro Letter	NCVS-572(L)CHIN-T_intro_letter.pdf	06/22/2009
NCVS-572 (L) Korean Introduction Letter	NCVS-572(L)KOR_intro_letter.pdf	06/22/2009
NCVS-572 L Spanish Intro Letter	NCVS-572(L)SP_intro_letter.pdf	06/22/2009
NCVS-572 (L) Vietnamese Intro Letter	NCVS-572(L)VIET_intro_letter.pdf	06/22/2009
NCVS(L) Follow-Up Letter	NCVS-573(L)_return_letter[1].pdf	06/22/2009
NCVS-573(L)SP Spanish Follow-Up Letter	NCVS-573(L)SP_return_letter[1].pdf	06/22/2009
NCVS-593(L) Thank you Letter	NCVS-593(L)_thank_you_letter[1].pdf	06/22/2009
NCVS-594(L) Final Letter	NCVS-594(L)_final_letter[1].pdf	06/22/2009
NCVS-594(L) SP Spanish Letter	NCVS-594(L)SP_final_letter[1].pdf	06/22/2009
NCVS-593(L) SP Spanish Thank You Letter	NCVS-593(L)SP_thank you_letter[1].pdf	06/22/2009
NCVS Survey Notice	NCVS Screenshot of OMB Number.wpd	06/30/2009

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