Information Collection

National Crime Victimization Survey

IC 249433 under ICR 202309-1121-001 · OMB 1121-0111.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1121-0111 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form NCVS-1 National Crime Victimization Survey	Form and Instruction
NCVS-500 (Control Card).pdf	Instruction
NCVS-500 (Control Card).pdf	Instruction
NCVS-1 Basic Screener NCVS-1 (Basic Screen Questionnaire) no expiration date.pdf	Form and Instruction
NCVS-1 Basic Screener NCVS-1 (Basic Screen Questionnaire) no expiration date.pdf	Form and Instruction
NCVS-2 Crime Incident Report NCVS-2 (Crime Incident Report) no expiration date.pdf	Form and Instruction
NCVS-2 Crime Incident Report NCVS-2 (Crime Incident Report) no expiration date.pdf	Form and Instruction
attachments for OMB clearance.pdf NCVS Core Attachments	IC Document
attachments for OMB clearance.pdf NCVS Core Attachments	IC Document

IC Title:

National Crime Victimization Survey

Agency IC Tracking Number:

BJS

Is this a Common Form? No

IC Status: Removed

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	NCVS-1	Basic Screener	NCVS-1 (Basic Screen Questionnaire) no expiration date.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	NCVS-2	Crime Incident Report	NCVS-2 (Crime Incident Report) no expiration date.pdf	Yes	Yes	Fillable Fileable
Instruction			NCVS-500 (Control Card).pdf	Yes	Yes	Fillable Fileable

Line of Business: Law Enforcement

Subfunction: Crime Prevention

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 124,663

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 90 %

table that charts list of burden
	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	-249,326	249,326
Annual IC Time Burden (Hours)	-117,545	117,545
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
NCVS Core Attachments	attachments for OMB clearance.pdf	09/22/2021

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