National Crime Victimization Survey (NCVS) Companion Survey (CS) Field Test

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Person Level Survey Questionnaire	Form and Instruction	New	Available
Incident Level Survey Questionnaire	Form and Instruction	New	Available
Appendices A - D with TOC.pdf	Supplementary Document	Uploaded 2015-02-11	Available
NCVS CS Field Test - OMB Submission - Statement A Final.docx	Supporting Statement A	Uploaded 2015-02-11	Available
NCVS CS Field Test - OMB Submission - Statement B Final 3_30_15.docx	Supporting Statement B	Uploaded 2015-03-30	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
214923	American Crime Survey - Incident and Person Level Instruments	Form and Instruction	New	Person Level Survey Questionnaire
214923	American Crime Survey - Incident and Person Level Instruments	Form and Instruction	New	Incident Level Survey Questionnaire

ICR Details

OMB Control No: 1121-0351	ICR Reference No: 201502-1121-001
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: DOJ/OJP	Agency Tracking No: BJS
Title: National Crime Victimization Survey (NCVS) Companion Survey (CS) Field Test
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 03/30/2015
Retrieve Notice of Action (NOA)	Date Received in OIRA: 02/17/2015
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	03/31/2018	36 Months From Approved
Responses	200,400	0	0
Time Burden (Hours)	37,575	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: The Bureau of Justice Statistics (BJS), of the U.S. Department of Justice, requests clearance to conduct a large-scale field test for activities related to the National Crime Victimization Survey Redesign Research (NCVS-RR) program. BJS, in consultation with Westat under a cooperative agreement (Award 2010-NV-CX-K077 National Crime Victimization Survey on Sub-National Estimates), has planned methodological research to develop a companion survey to the NCVS data collection in order to support lower cost, sub-national estimates. This activity falls under authorities of the Omnibus Crime Control Act of 1968 in which BJS is charged to "conduct or support research relating to methods of gathering or analyzing justice statistics;" (Section 302(c)(12)). The next phase of research tests an address-based sampling (ABS) design with only mail-based surveys to collect data for reliable local area estimates of criminal victimization.

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Authorizing Statute(s): US Code: 42 USC 3732 Name of Law: The Justice Improvement Act of 1979
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	79 FR 73627	12/11/2014
30-day Notice:	Federal Register Citation:	Citation Date:
	80 FR 8349	02/17/2015
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

table that charts list of burden

IC Title	Form No.	Form Name
American Crime Survey - Incident and Person Level Instruments	N/A, N/A	Incident Level Survey Questionnaire ,   Person Level Survey Questionnaire

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ICR Summary of Burden

table that charts list of burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	200,400	0	0	200,400	0	0
Annual Time Burden (Hours)	37,575	0	0	37,575	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: This is a new collection.

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Annual Cost to Federal Government: $6,989,700

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 02/17/2015

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