Information Collection

Cognitive Testing under the National Crime Victimization Survey (NCVS) Redesign Crime Incident Report (CIR)

IC 225661 under ICR 201510-1121-007 · OMB 1121-0325.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Cognitive Testing under the National Crime Victimization Survey (NCVS) Redesign Crime Incident Report (CIR)	Form and Instruction
NCVS-R: CIR COGNITIVE INTERVIEW PROTOCOL ROUND 1 Attachment A1_CIR Round 1.docx	Form and Instruction
NCVS-R: CIR COGNITIVE INTERVIEW PROTOCOL ROUND 2 Attachment A2_CIR Round 2.docx	Form and Instruction
NCVS-R Screener Round 1 Youth Testing Attachment A3_Youth screener testing_long cues.docx	Form and Instruction
NCVS-R: SCREENER COGNITIVE INTERVIEW YOUTH SCREENER TEST Attachment A3A_Youth screener testing_long cues_protocol.docx	Form and Instruction
NCVS Redesign CIR Cognitive Testing Attachments.pdf CIR Cognitive Testing Attachments	IC Document
NCVS redesign - Memo requesting clearance for CIR cognitive testing 030117.docx Memo Requesting Clearance for CIR Cognitive Testing	IC Document

IC Title:

Agency IC Tracking Number:

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 and Instruction	N/A	NCVS-R: CIR COGNITIVE INTERVIEW PROTOCOL ROUND 1	Attachment A1_CIR Round 1.docx	Yes	Yes	Fillable Fileable
Form and Instruction	N/A	NCVS-R: CIR COGNITIVE INTERVIEW PROTOCOL ROUND 2	Attachment A2_CIR Round 2.docx	Yes	Yes	Fillable Fileable
Form and Instruction	N/A	NCVS-R Screener Round 1 Youth Testing	Attachment A3_Youth screener testing_long cues.docx	Yes	Yes	Fillable Fileable
Form and Instruction	N/A	NCVS-R: SCREENER COGNITIVE INTERVIEW YOUTH SCREENER TESTING PROTOCOL Long Cues	Attachment A3A_Youth screener testing_long cues_protocol.docx	Yes	Yes	Fillable Fileable

Line of Business: Law Enforcement

Subfunction: Crime Prevention

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 120

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	120	120
Annual IC Time Burden (Hours)	180	180
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
CIR Cognitive Testing Attachments	NCVS Redesign CIR Cognitive Testing Attachments.pdf	02/10/2017
Memo Requesting Clearance for CIR Cognitive Testing	NCVS redesign - Memo requesting clearance for CIR cognitive testing 030117.docx	03/02/2017

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