Information Collection

National Crime Victimization Survey

IC 12401 under ICR 201506-1121-004 · OMB 1121-0111.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1121-0111 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form NCVS -1 National Crime Victimization Survey	Form
CAPI_Complete_manual_for_printing.pdf	Instruction
CAPI-update to manual_Jan_2012_RaceofOffender_corrs_Topic 2.pdf	Instruction
CAPI-update to manual_Jan_2012_RaceofOffender_corrs_Topic 15.pdf	Instruction
NCVS-546 reinterviewer manual 11-5-2010.pdf	Instruction
NCVS-570 RO MANUAL.pdf	Instruction
NCVS-547 self-study 2011.pdf	Instruction
522(I)-Initial FR Trainers_Guide.pdf	Instruction
REFRESHER TRAINING WORKBOOK_NCVS_531 1_08_2011.pdf	Instruction
REFRESHER TRAINING_GUIDE_NCVS_531_08_2011.pdf	Instruction
522.1_ClassroomWorkbook.pdf	Instruction
NCVS -1 Basic Screen Questionnaire NCVS1_Items_Booklet_2011.pdf	Form
NCVS-2 Crime Incident Report NCVS2_Items_Booklet_2011.pdf	Form
NCVS-500 Control Card NCVS control_card.pdf	Form
NCVS-541 Reinterview Screener NCVS-541_Reinterview_Screener.pdf	Form
NCVS-1 Spanish Basic Screen Questionnaire - Spanish NCVS1_Items_Booklet_Spanish.pdf	Form
NCVS-2 Spanish Crime Incident Report - Spanish NCVS2_Items_Booklet_Spanish.pdf	Form
NCVS_572(L)_intro letter (Chinese).pdf Intro Letter (Chinese)	IC Document
NCVS_572(L)_intro letter (Chinese_s).pdf Intro Letter (Chinese_S)	IC Document
NCVS_572(L)_intro letter (English).pdf Intro Letter (English)	IC Document
NCVS_572(L)_intro letter (Korean).pdf Intro Letter (Korean)	IC Document
NCVS_572(L)_intro letter (Spanish).pdf Intro Letter (Spanish)	IC Document
NCVS_572(L)_intro letter (Viet).pdf Intro Letter (Viet)	IC Document
NCVS_573(L)_follow-up (English).pdf Follow up (English)	IC Document
NCVS_573(L)_follow-up (Spanish).pdf Follow up (Spanish)	IC Document
NCVS_593(L)_thank you_continuing (English).pdf Thank You_Continuing (English)	IC Document
NCVS_593(L)_thank you_continuing (Spanish).pdf Thank you_Continuing (Spanish)	IC Document
NCVS_594(L)_thank you (English).pdf Thank you (English)	IC Document
NCVS_594(L)_thank you (Spanish).pdf Thank you (Spanish)	IC Document
Screenshot of NCVS Instrument screen containing the OMB number.docx NCVS instrument screen shot	IC Document
OMB memo- state sample boost.doc OMB Memo - State Sample Boost	IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

National Crime Victimization Survey

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Removed

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	NCVS -1	Basic Screen Questionnaire	NCVS1_Items_Booklet_2011.pdf	Yes	Yes	Fillable Fileable
Form	NCVS-2	Crime Incident Report	NCVS2_Items_Booklet_2011.pdf	Yes	Yes	Fillable Fileable
Form	NCVS-500	Control Card	NCVS control_card.pdf	Yes	Yes	Fillable Fileable
Form	NCVS-541	Reinterview Screener	NCVS-541_Reinterview_Screener.pdf	Yes	Yes	Fillable Fileable
Instruction			CAPI_Complete_manual_for_printing.pdf	Yes	Yes	Fillable Fileable
Instruction			CAPI-update to manual_Jan_2012_RaceofOffender_corrs_Topic 2.pdf	Yes	Yes	Fillable Fileable
Instruction			CAPI-update to manual_Jan_2012_RaceofOffender_corrs_Topic 15.pdf	Yes	Yes	Fillable Fileable
Instruction			NCVS-546 reinterviewer manual 11-5-2010.pdf	Yes	Yes	Fillable Fileable
Instruction			NCVS-570 RO MANUAL.pdf	Yes	Yes	Fillable Fileable
Instruction			NCVS-547 self-study 2011.pdf	Yes	Yes	Fillable Fileable
Instruction			522(I)-Initial FR Trainers_Guide.pdf	Yes	Yes	Fillable Fileable
Instruction			REFRESHER TRAINING WORKBOOK_NCVS_531 1_08_2011.pdf	Yes	Yes	Fillable Fileable
Instruction			REFRESHER TRAINING_GUIDE_NCVS_531_08_2011.pdf	Yes	Yes	Fillable Fileable
Form	NCVS-1 Spanish	Basic Screen Questionnaire - Spanish	NCVS1_Items_Booklet_Spanish.pdf	Yes	Yes	Fillable Fileable
Form	NCVS-2 Spanish	Crime Incident Report - Spanish	NCVS2_Items_Booklet_Spanish.pdf	Yes	Yes	Fillable Fileable
Instruction			522.1_ClassroomWorkbook.pdf	Yes	Yes	Fillable Fileable

Federal Enterprise Architecture Business Reference Module

Line of Business: Law Enforcement

Subfunction: Crime Prevention

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 120,100

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	-240,200	240,200
Annual IC Time Burden (Hours)	-80,450	80,450
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Intro Letter (Chinese)	NCVS_572(L)_intro letter (Chinese).pdf	06/25/2012
Intro Letter (Chinese_S)	NCVS_572(L)_intro letter (Chinese_s).pdf	06/25/2012
Intro Letter (English)	NCVS_572(L)_intro letter (English).pdf	06/25/2012
Intro Letter (Korean)	NCVS_572(L)_intro letter (Korean).pdf	06/25/2012
Intro Letter (Spanish)	NCVS_572(L)_intro letter (Spanish).pdf	06/25/2012
Intro Letter (Viet)	NCVS_572(L)_intro letter (Viet).pdf	06/25/2012
Follow up (English)	NCVS_573(L)_follow-up (English).pdf	06/25/2012
Follow up (Spanish)	NCVS_573(L)_follow-up (Spanish).pdf	06/25/2012
Thank You_Continuing (English)	NCVS_593(L)_thank you_continuing (English).pdf	06/25/2012
Thank you_Continuing (Spanish)	NCVS_593(L)_thank you_continuing (Spanish).pdf	06/25/2012
Thank you (English)	NCVS_594(L)_thank you (English).pdf	06/25/2012
Thank you (Spanish)	NCVS_594(L)_thank you (Spanish).pdf	06/25/2012
NCVS instrument screen shot	Screenshot of NCVS Instrument screen containing the OMB number.docx	06/25/2012
OMB Memo - State Sample Boost	OMB memo- state sample boost.doc	06/04/2013

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