Information Collection

NCVS companion study cognitive interviews

IC 207143 under ICR 201204-1121-002 · OMB 1121-0325.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1121-0325 can be found here:

Documents and Forms

Documents and forms in this information collection
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

IC Title:

NCVS companion study cognitive interviews

Agency IC Tracking Number:

BJS

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	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

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 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	50	50
Annual IC Time Burden (Hours)	75	75
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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.