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NCVS companion study cognitive interviews
Research to support the National Crime Victimization Survey (NCVS)
OMB: 1121-0325
IC ID: 207143
OMB.report
DOJ/OJP
OMB 1121-0325
ICR 201204-1121-002
IC 207143
( )
⚠️ Notice: This information collection may be referencing outdated material.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
Documents and Forms
Document Name
Document Type
NCVS companion study cognitive interviews
Form and Instruction
NCVS-CS Cognitive Interview Protocol (071013).docx
Other-interview protocol
2014 Survey of Crime and Victimization - Person Level Ap
Appendix B - Instrument - Person Level Approach (041013).docx.pdf
Form and Instruction
Neighborhood Crime Survey - Incident Level Approach
Appendix C - Instrument - Incident Level Approach.pdf
Form and Instruction
Appendix A - NCVS-CS_Pilot_Report_Revised (031213).pdf
NCVS-CS Pilot Report Revised
IC Document
Appendix D - Cog Lab Consent Form.docx
Congnitive Lab Consent Form
IC Document
NCVS-CS - Description of 2013 Cognitive Testing Task (071013).docx
NCVS Companion Study cognitive testing memo
IC Document
NCVS-CS - revised cover letter (071013).docx
Cover letter
IC Document
Appendix D - Cog Lab Consent Form (071013)r1.docx
consent form
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
NCVS companion study cognitive interviews
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 and Instruction
NA
2014 Survey of Crime and Victimization - Person Level Approach
Appendix B - Instrument - Person Level Approach (041013).docx.pdf
No
Paper Only
Form and Instruction
NA
Neighborhood Crime Survey - Incident Level Approach
Appendix C - Instrument - Incident Level Approach.pdf
No
Paper Only
Other-interview protocol
NCVS-CS Cognitive Interview Protocol (071013).docx
Yes
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:
50
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
0 %
Approved
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
50
0
50
0
0
0
Annual IC Time Burden (Hours)
75
0
75
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
NCVS-CS Pilot Report Revised
Appendix A - NCVS-CS_Pilot_Report_Revised (031213).pdf
06/04/2013
Congnitive Lab Consent Form
Appendix D - Cog Lab Consent Form.docx
06/04/2013
NCVS Companion Study cognitive testing memo
NCVS-CS - Description of 2013 Cognitive Testing Task (071013).docx
07/12/2013
Cover letter
NCVS-CS - revised cover letter (071013).docx
07/12/2013
consent form
Appendix D - Cog Lab Consent Form (071013)r1.docx
07/12/2013
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.