Information Collection

Pilot Vignette Study for the National Crime Victimization Survey (NCVS)

IC 215662 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⚠️ Notice: This information collection may be referencing outdated material.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
Pilot Vignette Study for the National Crime Victimization Survey (NCVS)	Form
Household Respondent's Screen Questions Appendix A - NCVS Screener Questions.pdf	Form
Web Instrument Appendix B - Instrument for the Crime Vignette Experiment (021015).docx	Form and Instruction
NCVS Redesign OMB Memo - Crime Vignettes Experiment final.docx Memo to OMB re: NCVS redesign Vignette Pilot	IC Document

IC Title:

Pilot Vignette Study for the National Crime Victimization Survey (NCVS)

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	N/A	Household Respondent's Screen Questions	Appendix A - NCVS Screener Questions.pdf		Yes	Yes	Fillable Fileable
Form and Instruction	N/A	Web Instrument	Appendix B - Instrument for the Crime Vignette Experiment (021015).docx		Yes	Yes	Fillable Fileable

Line of Business: Law Enforcement

Subfunction: Crime Prevention

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 1,000

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
Annual Number of Responses for this IC	1,000	1,000
Annual IC Time Burden (Hours)	167	167
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Memo to OMB re: NCVS redesign Vignette Pilot	NCVS Redesign OMB Memo - Crime Vignettes Experiment final.docx	03/12/2015

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