Information Collection

Identity Theft Supplement to the NCVS

IC 217871 under ICR 202104-1121-003 · OMB 1121-0317.

Documents and Forms

Document Name Document Type
Identity Theft Supplement to the NCVS Form and Instruction
Identity Theft Supplement Questionnaire A1.its14.pdf Form and Instruction
Identity Theft Supplement Questionnaire A1.its14.pdf Form and Instruction
Attachments.pdf ITS Supplementary Materials IC Document
Attachments.pdf ITS Supplementary Materials IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Identity Theft Supplement to the NCVS	Agency IC Tracking Number:	BJS

Is this a Common Form? No		IC Status: Removed

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	N/A	Identity Theft Supplement Questionnaire	A1.its14.pdf		Yes	Yes	Fillable Fileable

Line of Business: Law Enforcement

Subfunction: Crime Prevention

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 113,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Program Change Due to Agency Discretion	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	-113,000	113,000
Annual IC Time Burden (Hours)	-10,227	10,227
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
ITS Supplementary Materials	Attachments.pdf	08/12/2015

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