National Crime Victimization Survey 2015-2018

National Crime Victimization Survey

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

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-1 Basic Screener 2015 Attachment 3. NCVS-1_Items_Booklet_2015_with_screen_names.pdf Form and Instruction
NCVS Attachments with TOC.pdf All NCVS Attachments with table of contents IC Document
Attachment 1. NCVS New Demographic Items.docx Nonsubstantive Change - New Demographic Items IC Document
Attachment 2. NCVS Core Changes Flowchart_final.pdf Nonsubstantive change - Core Changes Flowchart IC Document

Information Collection (IC) Details

IC Title:	National Crime Victimization Survey 2015-2018	Agency IC Tracking Number:	BJS

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection 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
Form and Instruction	NCVS-1	Basic Screener 2015	Attachment 3. NCVS-1_Items_Booklet_2015_with_screen_names.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 %

	Approved	Previously Approved
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

Title	Document	Date Uploaded
All NCVS Attachments with table of contents	NCVS Attachments with TOC.pdf	06/22/2015
Nonsubstantive Change - New Demographic Items	Attachment 1. NCVS New Demographic Items.docx	01/14/2016
Nonsubstantive change - Core Changes Flowchart	Attachment 2. NCVS Core Changes Flowchart_final.pdf	01/14/2016

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