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National Crime Victimization Survey

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OMB: 1121-0111

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National Crime Victimization Survey -- NCVS Questions ver 75.00.00 (03/01/2018)

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• 0MB NOTICE·
• Read the NOTICE statement to the respondent only if they. have a serious grievance. and would like·to make a complaint regarding the survey.
• Allow the respondent time to copy the agency title and address provided in the NOTICE statement.

0MB No.1121-0111
NATIONAL CRIME VICTIMIZATION SURVEY NOTIC·E

The U.S. Census Bureau is required by law to protect your information. The Census Bureau is not permitted to publicly release your responses in a
way that could identify you. We are conducting this survey for the Bureau of Justice Statistics of the United States Department of Justice under the
authority of law (Title 13, United States Code, Section 8). The Bureau of Justice Statistics is authorized to collect this survey information by law (Title
34, United States Code, Section 10132). Federal law protects your privacy and keeps your answers confidential (Title 13, United States Code, Section
9 and Title 34, United States Code, Sections 10231 and 10134). Per the Federal Cybersecurity Enhancement Act of 2015, your data are protected from
cybersecurity risks through screening of the systems that transmit your data.
This collection has been approved by the Office of Management and Budget (0MB). The eight-digit 0MB approval number that appears on your
survey letter confirms this approval. If this number were not displayed we could not conduct this survey.
Send comments regarding any aspect of this survey to the Chief, Victimization Statistics Branch, �reau of Justice Statistics, Washington, DC 20531.

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