Information Collection

National Intimate Partner and Sexual Violence Survey (NISVS) - Developmental Testing

IC 230016 under ICR 201903-0920-007 · OMB 0920-0822.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0822 can be found here:

Documents and Forms

Document Name Document Type
Form 0920-0822 National Intimate Partner and Sexual Violence Survey (NISVS) - Developmental Testing Form and Instruction
0920-0822 Developmental Testing Tool for NISVS Developmental Testing for NISVS - Mock Instrument 08FEB2018.docx Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	National Intimate Partner and Sexual Violence Survey (NISVS) - Developmental Testing	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Unchanged

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	0920-0822	Developmental Testing Tool for NISVS	Developmental Testing for NISVS - Mock Instrument 08FEB2018.docx	NA	Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title: Epidemiologic Studies and Surveillance of Disease Problems	FR Citation: 57 FR 62812

Number of Respondents: 5,700	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 50 %

	Requested	Previously Approved
Annual Number of Responses for this IC	5,700	5,700
Annual IC Time Burden (Hours)	2,516	2,516
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

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