2017 NCVS Mail Materials Project

Generic Clearance for Questionnaire Pretesting Research

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0607-0725 can be found here:

Documents and Forms

Document Name Document Type
NCVS 593_Cognitive Interviewing Version.docx Instruction
NCVS 573_Cognitive Interviewing Version.docx Instruction
NCVS 572_Cognitive Interviewing Version.docx Instruction
NCVS-110_2014 Factsheet_English_12_22_15.pdf Instruction
NCVS_Infographic_v5_green.pdf Instruction
NCVS BC335A envelope.pdf Instruction
OMB Memo_NCVS_Mail Materials_04202017.docx OMB Memo IC Document
NCVS Mail Materials Cognitive Interviewing Protocol_04202017.docx Protocol IC Document
Screener_NCVS Mail Materials.docx Screener IC Document
NCVS_Infographic Content for Cognitive Interviewing.docx Infographic without styling IC Document
Consent forms for Demographic Surveys_NCVS.doc Consent Form IC Document
OMB letter - NCVS cognitive interviewing_jp.docx OMB Memo Revised IC Document

Information Collection (IC) Details

IC Title:	2017 NCVS Mail Materials Project	Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Instrument File	Available Electronically?	Electronic Capability
Instruction	NCVS 593_Cognitive Interviewing Version.docx	No	Fillable Fileable
Instruction	NCVS 573_Cognitive Interviewing Version.docx	No	Fillable Fileable
Instruction	NCVS 572_Cognitive Interviewing Version.docx	No	Fillable Fileable
Instruction	NCVS-110_2014 Factsheet_English_12_22_15.pdf	No	Fillable Fileable
Instruction	NCVS_Infographic_v5_green.pdf	No	Fillable Fileable
Instruction	NCVS BC335A envelope.pdf	No	Fillable Fileable

Line of Business: General Government

Subfunction: Central Records & Statistical Mgt

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 15	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	15	15
Annual IC Time Burden (Hours)	18	18
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
OMB Memo	OMB Memo_NCVS_Mail Materials_04202017.docx	04/20/2017
Protocol	NCVS Mail Materials Cognitive Interviewing Protocol_04202017.docx	04/20/2017
Screener	Screener_NCVS Mail Materials.docx	04/20/2017
Infographic without styling	NCVS_Infographic Content for Cognitive Interviewing.docx	04/20/2017
Consent Form	Consent forms for Demographic Surveys_NCVS.doc	04/20/2017
OMB Memo Revised	OMB letter - NCVS cognitive interviewing_jp.docx	05/19/2017

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