Information Collection

2019 Supplemental Victimization Survey

IC 235908 under ICR 201904-1121-004 · OMB 1121-0302.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
2019 Supplemental Victimization Survey	Form and Instruction
2019 Supplemental Victimization Survey 2019 SVS Questionnaire v1.0.pdf	Form and Instruction
2019 SVS OMB Supporting Statement Attachments.pdf SVS 2019 Attachments	IC Document

IC Title:

Agency IC Tracking Number:

BJS

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	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	N/A	2019 Supplemental Victimization Survey	2019 SVS Questionnaire v1.0.pdf		Yes	Yes	Fillable Fileable

Line of Business: Law Enforcement

Subfunction: Crime Prevention

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 119,526

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	119,526	119,526
Annual IC Time Burden (Hours)	6,388	6,388
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
SVS 2019 Attachments	2019 SVS OMB Supporting Statement Attachments.pdf	04/30/2019

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