Information Collection

2016 Supplemental Victimization Survey (SVS)

IC 221074 under ICR 201604-1121-004 · OMB 1121-0302.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1121-0302 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
2016 Supplemental Victimization Survey (SVS)	Form and Instruction
NCVS SVS Screener 2016 SVS Questionnaire_formatted_FINAL_03.02.16.pdf	Form and Instruction
2016 SVS OMB Supporting Statement Attachments.pdf SVS Attachments with Table of Contents	IC Document

IC Title:

2016 Supplemental Victimization Survey (SVS)

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	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	N/A	NCVS SVS Screener	2016 SVS Questionnaire_formatted_FINAL_03.02.16.pdf		Yes	Yes	Fillable Fileable

Line of Business: Law Enforcement

Subfunction: Crime Prevention

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 124,400

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	124,400	124,400
Annual IC Time Burden (Hours)	8,055	8,055
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
SVS Attachments with Table of Contents	2016 SVS OMB Supporting Statement Attachments.pdf	04/13/2016

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