Information Collection

American Crime Survey - Incident and Person Level Instruments

IC 214923 under ICR 201502-1121-001 · OMB 1121-0351.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Incident Level Survey Questionnaire American Crime Survey - Incident and Person Level Instruments	Form and Instruction
Person Level Survey Questionnaire 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

IC Title:

Agency IC Tracking Number:

BJS

Is this a Common Form? No

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 and Instruction	N/A				No		Paper Only
Form and Instruction	N/A				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 %

table that charts list of burden
	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

table that charts IC Documents
Title	Document	Date Uploaded
NCVS CS Field Test Supplemental Materials		02/11/2015

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

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