Research to support the National Crime Victimization Survey (NCVS)

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Draft Master Instrument for Usability Testing	Form and Instruction	New	Available
VDHS Pilot Survey Survey Instrument and Interview Protocol	Form and Instruction	New	Available
Cognitive Interview Instrument	Form	New	Available
V4 Supplemental Fraud Survey (SFS)	Form and Instruction	New	Available
V3 Supplemental Fraud Survey (SFS)	Form and Instruction	New	Available
NCVS-R: SCREENER COGNITIVE INTERVIEW YOUTH SCREENER TESTING PROTOCOL Long Cues	Form and Instruction	New	Available
NCVS-R Screener Round 1 Youth Testing	Form and Instruction	New	Available
NCVS-R: CIR COGNITIVE INTERVIEW PROTOCOL ROUND 2	Form and Instruction	New	Available
NCVS-R: CIR COGNITIVE INTERVIEW PROTOCOL ROUND 1	Form and Instruction	New	Available
Screener Instrument for Supplement Fraud Survey	Form and Instruction	New	Available
Preliminary Crime Incident Report Items For Cognitive Testing	Form and Instruction	New	Available
Screener Testing Instrument and Protocol	Form and Instruction	New	Available
AUTHORIZING LEGISLATION1.doc	Supplementary Document	Uploaded 2009-04-09	Available
NCVS-RR 2015 Supporting Statement Part B.docx	Supporting Statement B	Uploaded 2015-10-23	Available
NCVS-RR 2015 Supporting Statement Part A.docx	Supporting Statement A	Uploaded 2015-10-23	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
232223	Usability Testing under the National Crime Victimization Survey (NCVS) Redesign	Form and Instruction	New	Draft Master Instrument for Usability Testing
232223	Usability Testing under the National Crime Victimization Survey (NCVS) Redesign	Instruction	New
232151	Conduct the Victims with Disabilities in Homeless Shelters Pilot Survey	Form and Instruction	New	VDHS Pilot Survey Survey Instrument and Interview Protocol
227324	Cognitive Testing of Victim-Offender Overlap Study	Form	New	Cognitive Interview Instrument
225965	Cognitive Testing of the Supplemental Fraud Survey (SFS)	Form and Instruction	New	V4 Supplemental Fraud Survey (SFS)
225965	Cognitive Testing of the Supplemental Fraud Survey (SFS)	Form and Instruction	New	V3 Supplemental Fraud Survey (SFS)
225661	Cognitive Testing under the National Crime Victimization Survey (NCVS) Redesign Crime Incident Report (CIR)	Form and Instruction	New	NCVS-R: SCREENER COGNITIVE INTERVIEW YOUTH SCREENER TESTING PROTOCOL Long Cues
225661	Cognitive Testing under the National Crime Victimization Survey (NCVS) Redesign Crime Incident Report (CIR)	Form and Instruction	New	NCVS-R Screener Round 1 Youth Testing
225661	Cognitive Testing under the National Crime Victimization Survey (NCVS) Redesign Crime Incident Report (CIR)	Form and Instruction	New	NCVS-R: CIR COGNITIVE INTERVIEW PROTOCOL ROUND 2
225661	Cognitive Testing under the National Crime Victimization Survey (NCVS) Redesign Crime Incident Report (CIR)	Form and Instruction	New	NCVS-R: CIR COGNITIVE INTERVIEW PROTOCOL ROUND 1
223275	Cognitive Testing of Supplemental Fraud Survey - Crowdsourcing	Form and Instruction	New	Screener Instrument for Supplement Fraud Survey
222169	Cognitive Testing under the National Crime Victimization Survey (NCVS) Redesign Generic Clearance	Form and Instruction	New	Preliminary Crime Incident Report Items For Cognitive Testing
222169	Cognitive Testing under the National Crime Victimization Survey (NCVS) Redesign Generic Clearance	Form and Instruction	New	Screener Testing Instrument and Protocol

ICR Details

OMB Control No: 1121-0325	ICR Reference No: 201510-1121-007
Status: Historical Active	Previous ICR Reference No: 201204-1121-002
Agency/Subagency: DOJ/OJP	Agency Tracking No: BJS
Title: Research to support the National Crime Victimization Survey (NCVS)
Type of Information Collection: Reinstatement without change of a previously approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 12/11/2015
Retrieve Notice of Action (NOA)	Date Received in OIRA: 10/27/2015
Terms of Clearance: Previous terms of clearance remain in effect.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	12/31/2018	36 Months From Approved
Responses	21,200	0	0
Time Burden (Hours)	11,150	0	0
Cost Burden (Dollars)	0	0	0

---

Abstract: BJS proposes an extension of the generic clearance (OMB Number 1121-0325) to continue developmental activities as part of the redesign program, Methodological Research to Support the Redesign of the National Crime Victimization Survey (NCVS-RR).

---

Authorizing Statute(s): US Code: 42 USC Chapter 46 Section 3732 Name of Law: Justice System Improvement
  

Citations for New Statutory Requirements: None

---

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	80 FR 48567	08/13/2015
30-day Notice:	Federal Register Citation:	Citation Date:
	80 FR 63589	10/20/2015
Did the Agency receive public comments on this ICR? No

---

Number of Information Collection (IC) in this ICR: 7

table that charts list of burden

IC Title	Form No.	Form Name
Cognitive Testing of Supplemental Fraud Survey - Crowdsourcing	N/A	Screener Instrument for Supplement Fraud Survey
Cognitive Testing of Victim-Offender Overlap Study	N/A	Cognitive Interview Instrument
Cognitive Testing of the Supplemental Fraud Survey (SFS)	N/A, N/A	V3 Supplemental Fraud Survey (SFS) ,   V4 Supplemental Fraud Survey (SFS)
Cognitive Testing under the National Crime Victimization Survey (NCVS) Redesign Crime Incident Report (CIR)	N/A, N/A, N/A, N/A	NCVS-R: CIR COGNITIVE INTERVIEW PROTOCOL ROUND 1 ,   NCVS-R: CIR COGNITIVE INTERVIEW PROTOCOL ROUND 2 ,   NCVS-R Screener Round 1 Youth Testing ,   NCVS-R: SCREENER COGNITIVE INTERVIEW YOUTH SCREENER TESTING PROTOCOL Long Cues
Cognitive Testing under the National Crime Victimization Survey (NCVS) Redesign Generic Clearance	N/A, N/A	Screener Testing Instrument and Protocol ,   Preliminary Crime Incident Report Items For Cognitive Testing
Conduct the Victims with Disabilities in Homeless Shelters Pilot Survey	N/A	VDHS Pilot Survey Survey Instrument and Interview Protocol
Usability Testing under the National Crime Victimization Survey (NCVS) Redesign	N/A	Draft Master Instrument for Usability Testing

---

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	21,200	0	0	-8,519	0	29,719
Annual Time Burden (Hours)	11,150	0	0	-1,733	0	12,883
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: There are no significant reasons to the decrease in burden since the NCVS-RR projects are either ongoing or new data collections.

---

Annual Cost to Federal Government: $3,000,000

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

---

Common Form ICR:  No

---

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: 10/27/2015

---