Ncvs Svs

Generic Clearance for Questionnaire Pretesting Research

omb_NCVS SVS memo

NCVS SVS

OMB: 0607-0725

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The Census Bureau plans to conduct additional research under the generic clearance for questionnaire pretesting research (OMB number 0607-0725). We will be conducting cognitive research on the Supplemental Victimization Survey , part of the National Crime Victimization Survey, sponsored by the Bureau of Justice Statistics. The purpose of this cognitive research is to test concepts added to or revised in the Supplemental Victimization Survey.


From September 2015 to November 2015, staff from the Center for Survey Measurement will conduct approximately 60 cognitive interviews using a paper version of the instrument. Our recruiting efforts will target the following: (1) individuals in two age groups (i.e., ages 16-17, and respondents 18 and over); and (2) individuals who have been stalked in the last 12 months; and (3) individuals who have never experienced stalking. In addition to these characteristics, respondents will ideally represent a range of demographic characteristics (e.g., gender, race/ethnicity, socioeconomic status).


Respondents will be recruited through contacts with local organizations that serve individuals who have experienced stalking and domestic violence, as well as advertisements in local newspapers and Craigslist.com. Interviews will be conducted at the Census Bureau’s Response Research Laboratory and at locations convenient to interviewees. The interviews will be conducted in-person in the local metropolitan area (DC, Maryland, Virginia).


We will be conducting our cognitive interviews using the concurrent and retrospective think-aloud methods. We will audio-tape the interviews to facilitate analysis of the results. A copy of the draft questionnaire with protocol probes is enclosed.


For teenagers under 18, parents will give signed consent to allow them to participate, and children be asked for their verbal permission to audio record at the beginning of the audio-tape. We will inform participants that their response is voluntary and that the information they provide is confidential and will be seen only by employees involved in the research project. Participants will receive $40 for their participation in this research. The parental and adult (i.e., 18 years old or older) consent forms were approved on a prior submission.


We estimate that each interview will take approximately one hour (60 hours). The pre-approved generic screening questionnaire (OMB #1418) will take approximately ten minutes per person. We estimate that we will screen 3 people for each successful recruit for a total of 180 people screened (30 hours). Thus, the total estimated burden for this research is 90 hours.



The following documents are included as attachments:

NCVS SVS Protocol – enclosure 1

NCVS SVS Questionnaire – enclosure 2


The contact person for questions regarding data collection and the design of this research is listed below:


Mandi Martinez

Center for Survey Measurement

U.S. Census Bureau

Room 5K321C

Washington, D.C. 20233

(301) 763-9326

[email protected]


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