National Crime Victimization Survey

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form NCVS-500 Control Card	Form	New	Available
Form NCVS-2 Crime Incident Report	Form	New	Available
Form NCVS-1 Basic Screener	Form	New	Available
Form NCVS-2 Spanish Crime Incident Report - Spanish	Form	Removed	Available
Form NCVS-1 Spanish Basic Screen Questionnaire - Spanish	Form	Removed	Available
Form NCVS-541 Reinterview Screener	Form	Removed	Available
Form NCVS-500 Control Card	Form	Removed	Available
Form NCVS-2 Crime Incident Report	Form	Removed	Available
Form NCVS -1 Basic Screen Questionnaire	Form	Removed	Available
NCVS Attachments with TOC.pdf	Supplementary Document	Uploaded 2015-06-22	Repair queued
NCVS_Supporting_Statement_Part_A.doc	Supporting Statement A	Uploaded 2015-06-22	Available
NCVS_Supporting_Statement_Part B.doc	Supporting Statement B	Uploaded 2015-06-22	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
217149	National Crime Victimization Survey 2015-2018	Form	New	Control Card
217149	National Crime Victimization Survey 2015-2018	Form	New	Crime Incident Report
217149	National Crime Victimization Survey 2015-2018	Form	New	Basic Screener
12401	National Crime Victimization Survey	Form	Removed	Crime Incident Report - Spanish
12401	National Crime Victimization Survey	Form	Removed	Basic Screen Questionnaire - Spanish
12401	National Crime Victimization Survey	Form	Removed	Reinterview Screener
12401	National Crime Victimization Survey	Form	Removed	Control Card
12401	National Crime Victimization Survey	Form	Removed	Crime Incident Report
12401	National Crime Victimization Survey	Form	Removed	Basic Screen Questionnaire
12401	National Crime Victimization Survey	Instruction	Removed

ICR Details

OMB Control No: 1121-0111	ICR Reference No: 201506-1121-004
Status: Historical Active	Previous ICR Reference No: 201506-1121-002
Agency/Subagency: DOJ/OJP	Agency Tracking No: BJS
Title: National Crime Victimization Survey
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 08/12/2015
Retrieve Notice of Action (NOA)	Date Received in OIRA: 06/23/2015
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	08/31/2018	36 Months From Approved	08/31/2015
Responses	143,911	0	240,200
Time Burden (Hours)	106,311	0	80,450
Cost Burden (Dollars)	0	0	0

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Abstract: The National Crime Victimization Survey collects analyzes publishes, and disseminates statistics on the amount and type of crime committed against households and indiduals in the U.S. The NCVS provides national data on personal and household victimization, both reported and not reported to police. The data collection allows the BJS to fulfill its mission of collecting, analyzing, publishing, and disseminating information on victims of crime. Together with the Federal Bureau of Investigation's (FBI), statistics on crimes reported to law enforcement agencies, the NCVS provides an understanding of the nature of and changes in the nation's crime problems. The core NCVS includes the administration of the NCVS-1 (screener) and NCVS-2 (crime incident report) instruments to a nationally representative sample of about 144,000 persons age 12 or older living in households in the United States, including samples of persons representative of the 22 largest states in the US.

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Authorizing Statute(s): US Code: 42 USC Section 3732 Name of Law: Justice System Improvement
  

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:
	80 FR 20013	04/14/2015
30-day Notice:	Federal Register Citation:	Citation Date:
	80 FR 35395	06/19/2015
Did the Agency receive public comments on this ICR? Yes

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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
National Crime Victimization Survey	NCVS-500, NCVS -1, NCVS-2, NCVS-541, NCVS-1 Spanish, NCVS-2 Spanish	Basic Screen Questionnaire ,   Crime Incident Report ,   Control Card ,   Reinterview Screener ,   Basic Screen Questionnaire - Spanish ,   Crime Incident Report - Spanish
National Crime Victimization Survey 2015-2018	NCVS-2, NCVS-500, NCVS-1	Basic Screener ,   Crime Incident Report ,   Control Card

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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	143,911	240,200	0	-96,289	0	0
Annual Time Burden (Hours)	106,311	80,450	0	25,861	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: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: The estimated total annual hours for 2016 through 2018 (106,399) is greater than the 68,905 requested in 2012 because of the boost to the NCVS sample in the 22 largest states. The boost will allow BJS to generate three-year rolling average estimates of victimization in these 22 states with adequate precision (average RSE 10%), in addition to the regular national level estimates. The degree to which the sample will be boosted in each of the 22-states is dependent on the current level of sample in that state, as well as how representative the sample is of the state population. OMB previously approved an increase in burden due to a pilot test of the sample boost in 11 states on September 28, 2010, raising the NCVS burden hours to 80,450 (ICR Reference Number 201305-1121-002).

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Annual Cost to Federal Government: $29,273,850

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: 06/23/2015

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