American Crime Survey - Incident and Person Level Instruments

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

Documents and Forms

Document Name Document Type
American Crime Survey - Incident and Person Level Instruments Form and Instruction
Incident Level Survey Questionnaire American Crime Survey - Incident Level Survey Instrument.pdf Form and Instruction
Person Level Survey Questionnaire American Crime Survey - Person Level Survey Instrument.pdf Form and Instruction
Appendices A - D with TOC.pdf NCVS CS Field Test Supplemental Materials IC Document

Information Collection (IC) Details

IC Title:	American Crime Survey - Incident and Person Level Instruments	Agency IC Tracking Number:	BJS

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	N/A	Incident Level Survey Questionnaire	American Crime Survey - Incident Level Survey Instrument.pdf		No		Paper Only
Form and Instruction	N/A	Person Level Survey Questionnaire	American Crime Survey - Person Level Survey Instrument.pdf		No		Paper Only

Line of Business: Law Enforcement

Subfunction: Crime Prevention

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 200,400	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	200,400	200,400
Annual IC Time Burden (Hours)	37,575	37,575
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
NCVS CS Field Test Supplemental Materials	Appendices A - D with TOC.pdf	02/11/2015

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