Information Collection

Pretest of a Mail Survey Instrument under the National

IC 211367 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⚠️ Notice: This information collection may be referencing outdated material.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
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

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:

table that charts list of 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 %

table that charts list of burden
	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

table that charts IC Documents
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.