Information Collection Request
The National Intimate Partner and Sexual Violence Survey (NISVS)
ICR 202302-0920-017 · OMB 0920-0822 · Received in OIRA
⚠️ Notice: This information collection may be outdated. More recent filings for OMB 0920-0822 can be found here:
Forms and Documents
| Document | Type | Status | Availability |
|---|---|---|---|
 Phase 3 - ABS phone survey |
Form and Instruction | Modified | Repair queued |
| Phase 3 - ABS Web Survey |
Form and Instruction | Modified | Repair queued |
| Phase 3 - ABS, paper screener |
Form | Modified | Repair queued |
| Phase 3 - ABS, web screener |
Form and Instruction | Modified | Repair queued |
 NISVS Change Request 04JUN2021.docx |
Justification for No Material/Nonsubstantive Change | Uploaded 2021-08-27 | Repair queued |
 IRB Approval.pdf |
Supplementary Document | Uploaded 2021-05-20 | Repair queued |
| OMB Change Request for NISVS_5.4.21_FINAL (003).docx |
Justification for No Material/Nonsubstantive Change | Uploaded 2021-05-19 | Repair queued |
| Att O_Pilot Sample Design and Data Collection Procedures.docx |
Supplementary Document | Uploaded 2021-05-19 | Repair queued |
| Att N_Westat Recommendations for NISVS.docx |
Supplementary Document | Uploaded 2021-05-19 | Repair queued |
| Att K_Crosswalk of Survey Revisions.docx |
Supplementary Document | Uploaded 2021-05-19 | Available |
| Att J_Screener Thank You Letter_CLEAN.docx |
Supplementary Document | Uploaded 2021-05-19 | Repair queued |
| Att I.5_Reminder Postcard_CLEAN.docx |
Supplementary Document | Uploaded 2021-05-19 | Repair queued |
| Att I.4_Survey Follow-up Letter_CLEAN.docx |
Supplementary Document | Uploaded 2021-05-19 | Missing upstream |
| Att I.3_Screener Follow-up Letter_CLEAN.docx |
Supplementary Document | Uploaded 2021-05-19 | Repair queued |
| Att I.2_Advance Letter for Survey_CLEAN.docx |
Supplementary Document | Uploaded 2021-05-19 | Repair queued |
| Att I.1_Advance Letter for Screener_CLEAN.docx |
Supplementary Document | Uploaded 2021-05-19 | Repair queued |
| AttL_Cognitive Testing Protocol.docx |
Supplementary Document | Uploaded 2020-01-06 | Repair queued |
| AttK.2_NISVS Workgroup Summary.docx |
Supplementary Document | Uploaded 2020-01-06 | Repair queued |
| AttK.1_NISVS Workgroup Participants.docx |
Supplementary Document | Uploaded 2020-01-06 | Repair queued |
| AttG_PIA_NISVS.pdf |
Supplementary Document | Uploaded 2020-01-06 | Repair queued |
| AttF_Security Agreement.pdf |
Supplementary Document | Uploaded 2020-01-06 | Repair queued |
| AttD_IRB Approval.pdf |
Supplementary Document | Uploaded 2020-01-06 | Repair queued |
| AttC_Outside Consultation.pdf |
Supplementary Document | Uploaded 2020-01-06 | Repair queued |
| AttB1_60Day - FRN-0822.pdf |
Supplementary Document | Uploaded 2020-01-06 | Repair queued |
| AttA_AuthLeg_0822.docx |
Supplementary Document | Uploaded 2020-01-06 | Repair queued |
| SSB_NISVS_12.7.22.docx |
Supporting Statement B | Uploaded 2023-02-16 | Missing upstream |
| SSA_0822_NISVS_2.16.23.docx |
Supporting Statement A | Uploaded 2023-02-16 | Repair queued |
IC Document Collections
| IC ID | Collection | Type | Status | Form |
|---|---|---|---|---|
| 239171 |  Phase 3 - ABS phone survey |
Form and Instruction | Modified | |
| 239169 | Phase 3 - ABS Web Survey |
Form and Instruction | Modified | |
| 239167 | Phase 3 - ABS, paper screener |
Form | Modified | |
| 239165 | Phase 3 - ABS, web screener |
Form and Instruction | Modified |
ICR Details
| Status | Received in OIRA |
|---|---|
| Agency/Subagency | HHS/CDC |
| OMB Control No | 0920-0822 |
| Type of Information Collection | Revision of a currently approved collection |
| Previous ICR Reference No | 202105-0920-008 |
| Agency Tracking No | 0920-0822 |
| Date Submitted to OIRA | 1969-12-31 |
| Requested Expiration Date | 1969-12-31 |