Information Collection

National Crime Victimization Survey 2015-2018

IC 217149 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⚠️ Notice: This information collection may be referencing outdated material.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 2015-2018	Form
NCVS-1 Basic Screener NCVS-1_Items_Booklet_2015_with_screen_names.pdf	Form
NCVS-2 Crime Incident Report NCVS-2_Items_Booklet_2015_with_screen_names.pdf	Form
NCVS-500 Control Card NCVS Control Card_2015.pdf	Form
NCVS Attachments with TOC.pdf All NCVS Attachments with table of contents	IC Document

IC Title:

National Crime Victimization Survey 2015-2018

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	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	NCVS-1	Basic Screener	NCVS-1_Items_Booklet_2015_with_screen_names.pdf	Yes	Yes	Fillable Fileable
Form	NCVS-2	Crime Incident Report	NCVS-2_Items_Booklet_2015_with_screen_names.pdf	Yes	Yes	Fillable Fileable
Form	NCVS-500	Control Card	NCVS Control Card_2015.pdf	Yes	Yes	Fillable Fileable

Line of Business: Law Enforcement

Subfunction: Crime Prevention

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 143,911

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	143,911	143,911
Annual IC Time Burden (Hours)	106,311	106,311
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
All NCVS Attachments with table of contents	NCVS Attachments with TOC.pdf	06/22/2015

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