Information Collection

Pilot Test of the New NCVS instrument

IC 259760 under ICR 202409-1121-002 · OMB 1121-0339.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1121-0339 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
NCVS Redesign Questionnaire v0.4.docx	Other-survey
2023 NCVS Redesign Pilot Test OMB Memo_cost update.docx 2023 NCVS Redesign Pilot Test Memo	IC Document
Distress Protocol v1.1.docx Distress Protocol	IC Document
NCVS Fact Sheet.pdf NCVS Fact Sheet	IC Document
NCVS-572 Advance Letter.pdf NCVS Advance Letter	IC Document
Gen IC Template National Crime Survey 1121-0339.docx Gen IC NCVS	IC Document

IC Title:

Pilot Test of the New NCVS instrument

Agency IC Tracking Number:

IC Status: Unchanged

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
Other-survey			NCVS Redesign Questionnaire v0.4.docx		No		Fillable Printable

Line of Business: Law Enforcement

Subfunction: Crime Prevention

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 7,900

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	7,900	7,900
Annual IC Time Burden (Hours)	3,484	3,484
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
2023 NCVS Redesign Pilot Test Memo	2023 NCVS Redesign Pilot Test OMB Memo_cost update.docx	04/19/2023
Distress Protocol	Distress Protocol v1.1.docx	04/18/2023
NCVS Fact Sheet	NCVS Fact Sheet.pdf	04/18/2023
NCVS Advance Letter	NCVS-572 Advance Letter.pdf	04/18/2023
Gen IC NCVS	Gen IC Template National Crime Survey 1121-0339.docx	04/18/2023

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