The National Intimate Partner and Sexual Violence Survey (NISVS)

ICR 202302-0920-017

OMB: 0920-0822

Federal Form Document

⚠️ Notice: This information collection may be outdated.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

2023-11-09 - No material or nonsubstantive change to a currently approved collection

Forms and Documents

Document Name	Status
Phase 3 - ABS phone survey Form and Instruction	Modified
Phase 3 - ABS Web Survey Form and Instruction	Modified
Phase 3 - ABS, paper screener Form	Modified
Phase 3 - ABS, web screener Form and Instruction	Modified
NISVS Change Request 04JUN2021.docx Justification for No Material/Nonsubstantive Change	2021-08-27
IRB Approval.pdf Supplementary Document	2021-05-20
OMB Change Request for NISVS_5.4.21_FINAL (003).docx Justification for No Material/Nonsubstantive Change	2021-05-19
Att O_Pilot Sample Design and Data Collection Procedures.docx Supplementary Document	2021-05-19
Att N_Westat Recommendations for NISVS.docx Supplementary Document	2021-05-19
Att K_Crosswalk of Survey Revisions.docx Supplementary Document	2021-05-19
Att J_Screener Thank You Letter_CLEAN.docx Supplementary Document	2021-05-19
Att I.5_Reminder Postcard_CLEAN.docx Supplementary Document	2021-05-19
Att I.4_Survey Follow-up Letter_CLEAN.docx Supplementary Document	2021-05-19
Att I.3_Screener Follow-up Letter_CLEAN.docx Supplementary Document	2021-05-19
Att I.2_Advance Letter for Survey_CLEAN.docx Supplementary Document	2021-05-19
Att I.1_Advance Letter for Screener_CLEAN.docx Supplementary Document	2021-05-19
AttL_Cognitive Testing Protocol.docx Supplementary Document	2020-01-06
AttK.2_NISVS Workgroup Summary.docx Supplementary Document	2020-01-06
AttK.1_NISVS Workgroup Participants.docx Supplementary Document	2020-01-06
AttG_PIA_NISVS.pdf Supplementary Document	2020-01-06
AttF_Security Agreement.pdf Supplementary Document	2020-01-06
AttD_IRB Approval.pdf Supplementary Document	2020-01-06
AttC_Outside Consultation.pdf Supplementary Document	2020-01-06
AttB1_60Day - FRN-0822.pdf Supplementary Document	2020-01-06
AttA_AuthLeg_0822.docx Supplementary Document	2020-01-06
SSB_NISVS_12.7.22.docx Supporting Statement B	2023-02-16
SSA_0822_NISVS_2.16.23.docx Supporting Statement A	2023-02-16

IC Document Collections

IC ID	Document Title	Status
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