Information Collection

2017 NCVS Mail Materials Project

IC 226491 under ICR 201606-0607-003 · OMB 0607-0725.

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Documents and forms in this information collection
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

IC Title:

2017 NCVS Mail Materials Project

Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of 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 %

table that charts list of burden
	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

table that charts IC Documents
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.