Information Collection

Identity Theft Supplement to the NCVS

IC 247014 under ICR 202104-1121-003 · OMB 1121-0317.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Identity Theft Supplement to the NCVS	Form and Instruction
2021 Identity Theft Supplement Attachment 1_2021 Identity Theft Supplement Questionnaire.pdf	Form and Instruction
2021 Identity Theft Supplement Attachment 1_2021 Identity Theft Supplement Questionnaire.pdf	Form and Instruction
Attachments.pdf ITS Attachments	IC Document
Attachments.pdf ITS 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	2021 Identity Theft Supplement	Attachment 1_2021 Identity Theft Supplement Questionnaire.pdf		Yes	Yes	Fillable Fileable

Line of Business: Law Enforcement

Subfunction: Crime Prevention

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 104,910

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	104,910	104,910
Annual IC Time Burden (Hours)	15,185	15,185
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
ITS Attachments	Attachments.pdf	04/26/2021

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