Information Collection

National Crime Victimization Survey

IC 12401 under ICR 201206-1121-001 · OMB 1121-0111.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1121-0111 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form NCVS -1 Basic Screen Questionnaire National Crime Victimization Survey	Form
Form NCVS-2 Crime Incident Report National Crime Victimization Survey	Form
Form NCVS-500 Control Card National Crime Victimization Survey	Form
Form NCVS-541 Reinterview Screener National Crime Victimization Survey	Form
Form NCVS-1 Spanish Basic Screen Questionnaire - Spanish National Crime Victimization Survey	Form
Form NCVS-2 Spanish Crime Incident Report - Spanish National Crime Victimization Survey	Form
CAPI_Complete_manual_for_printing.pdf	Instruction
CAPI-update to manual_Jan_2012_RaceofOffender_corrs_Topic 2.pdf	Instruction
CAPI-update to manual_Jan_2012_RaceofOffender_corrs_Topic 15.pdf	Instruction
NCVS-546 reinterviewer manual 11-5-2010.pdf	Instruction
NCVS-570 RO MANUAL.pdf	Instruction
NCVS-547 self-study 2011.pdf	Instruction
522(I)-Initial FR Trainers_Guide.pdf	Instruction
REFRESHER TRAINING WORKBOOK_NCVS_531 1_08_2011.pdf	Instruction
REFRESHER TRAINING_GUIDE_NCVS_531_08_2011.pdf	Instruction
522.1_ClassroomWorkbook.pdf	Instruction
NCVS -1 Basic Screen Questionnaire NCVS1_Items_Booklet_2011.pdf	Form
NCVS-2 Crime Incident Report NCVS2_Items_Booklet_2011.pdf	Form
NCVS-500 Control Card NCVS control_card.pdf	Form
NCVS-541 Reinterview Screener NCVS-541_Reinterview_Screener.pdf	Form
NCVS-1 Spanish Basic Screen Questionnaire - Spanish NCVS1_Items_Booklet_Spanish.pdf	Form
NCVS-2 Spanish Crime Incident Report - Spanish NCVS2_Items_Booklet_Spanish.pdf	Form
NCVS_572(L)_intro letter (Chinese).pdf Intro Letter (Chinese)	IC Document
NCVS_572(L)_intro letter (Chinese_s).pdf Intro Letter (Chinese_S)	IC Document
NCVS_572(L)_intro letter (English).pdf Intro Letter (English)	IC Document
NCVS_572(L)_intro letter (Korean).pdf Intro Letter (Korean)	IC Document
NCVS_572(L)_intro letter (Spanish).pdf Intro Letter (Spanish)	IC Document
NCVS_572(L)_intro letter (Viet).pdf Intro Letter (Viet)	IC Document
NCVS_573(L)_follow-up (English).pdf Follow up (English)	IC Document
NCVS_573(L)_follow-up (Spanish).pdf Follow up (Spanish)	IC Document
NCVS_593(L)_thank you_continuing (English).pdf Thank You_Continuing (English)	IC Document
NCVS_593(L)_thank you_continuing (Spanish).pdf Thank you_Continuing (Spanish)	IC Document
NCVS_594(L)_thank you (English).pdf Thank you (English)	IC Document
NCVS_594(L)_thank you (Spanish).pdf Thank you (Spanish)	IC Document
Screenshot of NCVS Instrument screen containing the OMB number.docx NCVS instrument screen shot	IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

National Crime Victimization Survey

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	NCVS -1	Yes	Yes	Fillable Fileable
Form	NCVS-2	Yes	Yes	Fillable Fileable
Form	NCVS-500	Yes	Yes	Fillable Fileable
Form	NCVS-541	Yes	Yes	Fillable Fileable
Instruction		Yes	Yes	Fillable Fileable
Instruction		Yes	Yes	Fillable Fileable
Instruction		Yes	Yes	Fillable Fileable
Instruction		Yes	Yes	Fillable Fileable
Instruction		Yes	Yes	Fillable Fileable
Instruction		Yes	Yes	Fillable Fileable
Instruction		Yes	Yes	Fillable Fileable
Instruction		Yes	Yes	Fillable Fileable
Instruction		Yes	Yes	Fillable Fileable
Form	NCVS-1 Spanish	Yes	Yes	Fillable Fileable
Form	NCVS-2 Spanish	Yes	Yes	Fillable Fileable
Instruction		Yes	Yes	Fillable Fileable

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: 100,700

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	Previously Approved
Annual Number of Responses for this IC	201,400	-7,004	208,404
Annual IC Time Burden (Hours)	68,905	1,248	67,657
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Intro Letter (Chinese)		06/25/2012
Intro Letter (Chinese_S)		06/25/2012
Intro Letter (English)		06/25/2012
Intro Letter (Korean)		06/25/2012
Intro Letter (Spanish)		06/25/2012
Intro Letter (Viet)		06/25/2012
Follow up (English)		06/25/2012
Follow up (Spanish)		06/25/2012
Thank You_Continuing (English)		06/25/2012
Thank you_Continuing (Spanish)		06/25/2012
Thank you (English)		06/25/2012
Thank you (Spanish)		06/25/2012
NCVS instrument screen shot		06/25/2012

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

Something went wrong when downloading this file. If you have any questions, please send an email to [email protected].