Information Collection

National Crime Victimization Survey 2015-2018

IC 217149 under ICR 201803-1121-001 · OMB 1121-0111.

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Documents and forms in this information collection
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

IC Title:

National Crime Victimization Survey 2015-2018

Agency IC Tracking Number:

BJS

Is this a Common Form? No

IC Status: Removed

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of 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 %

table that charts list of burden
	Program Change Due to Agency Discretion	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

table that charts IC Documents
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.