Information Collection

National Crime Victimization Survey, 2018-2021

IC 230748 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⚠️ Notice: This information collection may be referencing outdated material.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-500 National Crime Victimization Survey, 2018-2021	Form and Instruction
NCVS-1 Basic Screener Questionnaire Attachment 2. NCVS-1 (Basic Screen Questionnaire)_revised.pdf	Form
NCVS-2 Crime Incident Report NCVS-2 (Crime Incident Report)_no expiration date.pdf	Form and Instruction
NCVS-500 Control Card NCVS-500 (Control Card).pdf	Form and Instruction
NCVS OMB Supporting Statement Attachments.pdf NCVS Attachments	IC Document
NCVS-572(L)_All Languages_no expiration date.pdf Letter to participants no expiration date	IC Document
NCVS-573(L)_All Languages_no expiration date.pdf Follow up letter to participants no expiration date	IC Document
NCVS Screenshot with OMB number_201803 instrument_no expiration date.pdf Screen shot with no expiration date	IC Document
Attachment 3. NCVS-521 (CAPI Self-Study)_revised.pdf Final CAPI Self-Study NCVS-521	IC Document
Attachment 4. NCVS-522(I) (Initial Training Guide)_revised.pdf Initial Training Guide - Final	IC Document
Attachment 5. NCVS-550 (NCVS Interviewing Manual for Field Representatives)_revised.pdf Interview Guide for Field Reps - Final	IC Document
Attachment 7. BJS response to public comments_2.5.19.docx BJS Response to Public Comments	IC Document
Request for OMB waiver of expiration date for 3 months_Feb 19.pdf Request for 3 month Waiver of Expiration Date	IC Document

IC Title:

National Crime Victimization Survey, 2018-2021

Agency IC Tracking Number:

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	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	NCVS-500	Control Card	NCVS-500 (Control Card).pdf	Yes	Yes	Fillable Fileable
Form and Instruction	NCVS-2	Crime Incident Report	NCVS-2 (Crime Incident Report)_no expiration date.pdf	Yes	Yes	Fillable Fileable
Form	NCVS-1	Basic Screener Questionnaire	Attachment 2. NCVS-1 (Basic Screen Questionnaire)_revised.pdf	Yes	Yes	Fillable Fileable

Line of Business: Law Enforcement

Subfunction: Crime Prevention

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 172,258

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	344,516	344,516
Annual IC Time Burden (Hours)	120,810	120,810
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
NCVS Attachments	NCVS OMB Supporting Statement Attachments.pdf	03/20/2018
Letter to participants no expiration date	NCVS-572(L)_All Languages_no expiration date.pdf	06/14/2018
Follow up letter to participants no expiration date	NCVS-573(L)_All Languages_no expiration date.pdf	06/14/2018
Screen shot with no expiration date	NCVS Screenshot with OMB number_201803 instrument_no expiration date.pdf	06/14/2018
Final CAPI Self-Study NCVS-521	Attachment 3. NCVS-521 (CAPI Self-Study)_revised.pdf	02/08/2019
Initial Training Guide - Final	Attachment 4. NCVS-522(I) (Initial Training Guide)_revised.pdf	02/08/2019
Interview Guide for Field Reps - Final	Attachment 5. NCVS-550 (NCVS Interviewing Manual for Field Representatives)_revised.pdf	02/08/2019
BJS Response to Public Comments	Attachment 7. BJS response to public comments_2.5.19.docx	02/08/2019
Request for 3 month Waiver of Expiration Date	Request for OMB waiver of expiration date for 3 months_Feb 19.pdf	02/08/2019

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