Pretest of a Mail Survey Instrument under the National

Research to support the National Crime Victimization Survey (NCVS)

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Document Name Document Type
Pretest of a Mail Survey Instrument under the National Form and Instruction
Neighborhood Crime Survey Appendix C - Mail Survey Instruments.pdf Form and Instruction
NCVS-CS - Description of 2014 Pretest of a Mail Survey (revised).docx Memo to OMB Re: Pretest of Mail Survey IC Document
Appendix A - NCVS-CS_Pilot_Report_Revised (031213).pdf Summary Report of Pilot Study IC Document
Appendix bundle B, D, E, F, G.docx All Other Supporting Documentation IC Document

Information Collection (IC) Details

IC Title:	Pretest of a Mail Survey Instrument under the National	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	N/A	Neighborhood Crime Survey	Appendix C - Mail Survey Instruments.pdf		No		Paper Only

Line of Business: Law Enforcement

Subfunction: Citizen Protection

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1,100	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	1,100	1,100
Annual IC Time Burden (Hours)	242	242
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Memo to OMB Re: Pretest of Mail Survey	NCVS-CS - Description of 2014 Pretest of a Mail Survey (revised).docx	04/22/2014
Summary Report of Pilot Study	Appendix A - NCVS-CS_Pilot_Report_Revised (031213).pdf	04/22/2014
All Other Supporting Documentation	Appendix bundle B, D, E, F, G.docx	04/22/2014

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