Information Collection

National Crime Victimization Survey Split Sample

IC 262198 under ICR 202408-1121-002 · 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⚠️ Notice: This information collection may be referencing outdated material.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-500, NCVS-1, National Crime Victimization Survey Split Sample	Form and Instruction
NCVS-500, NCVS-1, National Crime Victimization Survey Screener and Inciden NCVS Current Questionnaire.pdf	Form and Instruction
NCVS-500, NCVS-1, National Crime Victimization Survey Screener and Inciden NCVS Current Questionnaire.pdf	Form and Instruction
National Crime Victimization Survey Redesigned Survey NCVS Redesign Questionnaire.pdf	Form and Instruction
National Crime Victimization Survey Redesigned Survey NCVS Redesign Questionnaire.pdf	Form and Instruction
NCVS Redesign Split Sample Attachments.pdf NCVS Split Sample Attachments	IC Document
NCVS Redesign Split Sample Attachments.pdf NCVS Split Sample Attachments	IC Document

IC Title:

National Crime Victimization Survey Split Sample

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	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	NCVS-500, NCVS-1, NCVS-2	National Crime Victimization Survey Screener and Incident Form	NCVS Current Questionnaire.pdf		Yes	Yes	Fillable Fileable
Form and Instruction	N/A	National Crime Victimization Survey Redesigned Survey	NCVS Redesign 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: 182,504

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	-354,831	354,831
Annual IC Time Burden (Hours)	-124,888	124,888
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
NCVS Split Sample Attachments	NCVS Redesign Split Sample Attachments.pdf	09/18/2023

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