Information Collection Request
[NCIPC] The National Intimate Partner and Sexual Violence Survey (NISVS)
ICR 202503-0920-002 · OMB 0920-0822 · Active
Forms and Documents
| Document | Type | Status | Availability |
|---|---|---|---|
 Form 0920-0822 Questionnaire, phone (Att. K-L) |
Form and Instruction | Unchanged | Available |
| Form 0920-0822 Questionnaire, phone (Att. K-L) |
Form and Instruction | Unchanged | Repair queued |
| Form 0920-0822 Questionnaire, web (Att. K-L) |
Form and Instruction | Unchanged | Repair queued |
| Form 0920-0822 Questionnaire, web (Att. K-L) |
Form and Instruction | Unchanged | Missing upstream |
| Form 0920-0822 Screener (Att. K-N ) |
Form and Instruction | Unchanged | Available |
| Form 0920-0822 Screener (Att. K-N ) |
Form and Instruction | Unchanged | Repair queued |
| Form 0920-0822 Advance Letter (Att. S-T) |
Form and Instruction | Unchanged | Available |
| Form 0920-0822 Advance Letter (Att. S-T) |
Form and Instruction | Unchanged | Repair queued |
 CHANGE REQUEST 0920-0822_Common Form.docx |
Justification for No Material/Nonsubstantive Change | Uploaded 2025-03-03 | Repair queued |
| CHANGE REQUEST 0920-0822_Common Form.docx |
Justification for No Material/Nonsubstantive Change | Uploaded 2025-03-03 | Repair queued |
| SSA_0822_NISVS_10.16.23_CLEAN.docx |
Supplementary Document | Uploaded 2023-11-09 | Available |
| SSA_0822_NISVS_10.16.23_CLEAN.docx |
Supplementary Document | Uploaded 2023-11-09 | Repair queued |
| NISVS_Non-substantive Change Request_10.19.2023.docx |
Supplementary Document | Uploaded 2023-11-09 | Repair queued |
| NISVS_Non-substantive Change Request_10.19.2023.docx |
Supplementary Document | Uploaded 2023-11-09 | Repair queued |
| Att I_Overview of NISVS-5 Survey Revisions_REV1.10.23Clean.docx |
Supplementary Document | Uploaded 2023-02-16 | Available |
| Att I_Overview of NISVS-5 Survey Revisions_REV1.10.23Clean.docx |
Supplementary Document | Uploaded 2023-02-16 | Repair queued |
 Att H_NISVS Cognitive Testing Reports.pdf |
Supplementary Document | Uploaded 2023-02-16 | Available |
| Att H_NISVS Cognitive Testing Reports.pdf |
Supplementary Document | Uploaded 2023-02-16 | Repair queued |
| Att G_NISVS Redesign_Pilot Test Final Report.docx |
Supplementary Document | Uploaded 2023-02-16 | Available |
| Att G_NISVS Redesign_Pilot Test Final Report.docx |
Supplementary Document | Uploaded 2023-02-16 | Missing upstream |
| Att F_Nonresponse Follow-up Study Report.docx |
Supplementary Document | Uploaded 2023-02-16 | Available |
| Att F_Nonresponse Follow-up Study Report.docx |
Supplementary Document | Uploaded 2023-02-16 | Repair queued |
| Att E_Feasibility Study Report.docx |
Supplementary Document | Uploaded 2023-02-16 | Available |
| Att E_Feasibility Study Report.docx |
Supplementary Document | Uploaded 2023-02-16 | Repair queued |
| Att B_Federal register notice.pdf |
Supplementary Document | Uploaded 2023-02-16 | Available |
| Att B_Federal register notice.pdf |
Supplementary Document | Uploaded 2023-02-16 | Missing upstream |
| Att A_AuthLeg_0822.docx |
Supplementary Document | Uploaded 2023-02-16 | Available |
| Att A_AuthLeg_0822.docx |
Supplementary Document | Uploaded 2023-02-16 | Repair queued |
| Att R_PIA_NISVS.pdf |
Supplementary Document | Uploaded 2023-02-16 | Repair queued |
| Att R_PIA_NISVS.pdf |
Supplementary Document | Uploaded 2023-02-16 | Repair queued |
| Att U_Research or Non-Research Determination for NISVS.pdf |
Supplementary Document | Uploaded 2023-02-16 | Repair queued |
| Att U_Research or Non-Research Determination for NISVS.pdf |
Supplementary Document | Uploaded 2023-02-16 | Repair queued |
| NISVS Change Request 04JUN2021.docx |
Justification for No Material/Nonsubstantive Change | Uploaded 2021-08-27 | Available |
| 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 | Available |
| 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 | Available |
| OMB Change Request for NISVS_5.4.21_FINAL (003).docx |
Justification for No Material/Nonsubstantive Change | Uploaded 2021-05-19 | Missing upstream |
| Att O_Pilot Sample Design and Data Collection Procedures.docx |
Supplementary Document | Uploaded 2021-05-19 | Available |
| 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 | Available |
| 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 | Repair queued |
| Att K_Crosswalk of Survey Revisions.docx |
Supplementary Document | Uploaded 2021-05-19 | Repair queued |
| Att J_Screener Thank You Letter_CLEAN.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.5_Reminder Postcard_CLEAN.docx |
Supplementary Document | Uploaded 2021-05-19 | Missing upstream |
| Att I.4_Survey Follow-up Letter_CLEAN.docx |
Supplementary Document | Uploaded 2021-05-19 | Available |
| Att I.4_Survey Follow-up Letter_CLEAN.docx |
Supplementary Document | Uploaded 2021-05-19 | Repair queued |
| Att I.3_Screener Follow-up Letter_CLEAN.docx |
Supplementary Document | Uploaded 2021-05-19 | Repair queued |
| Att I.3_Screener Follow-up Letter_CLEAN.docx |
Supplementary Document | Uploaded 2021-05-19 | Missing upstream |
| Att I.2_Advance Letter for Survey_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 | Available |
| 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 | Available |
| AttL_Cognitive Testing Protocol.docx |
Supplementary Document | Uploaded 2020-01-06 | Missing upstream |
| AttK.2_NISVS Workgroup Summary.docx |
Supplementary Document | Uploaded 2020-01-06 | Available |
| 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 |
| AttK.1_NISVS Workgroup Participants.docx |
Supplementary Document | Uploaded 2020-01-06 | Repair queued |
| AttG_PIA_NISVS.pdf |
Supplementary Document | Uploaded 2020-01-06 | Available |
| AttG_PIA_NISVS.pdf |
Supplementary Document | Uploaded 2020-01-06 | Repair queued |
| AttF_Security Agreement.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 |
| AttD_IRB Approval.pdf |
Supplementary Document | Uploaded 2020-01-06 | Repair queued |
| AttC_Outside Consultation.pdf |
Supplementary Document | Uploaded 2020-01-06 | Available |
| AttC_Outside Consultation.pdf |
Supplementary Document | Uploaded 2020-01-06 | Repair queued |
| AttB1_60Day - FRN-0822.pdf |
Supplementary Document | Uploaded 2020-01-06 | Available |
| AttB1_60Day - FRN-0822.pdf |
Supplementary Document | Uploaded 2020-01-06 | Repair queued |
| AttA_AuthLeg_0822.docx |
Supplementary Document | Uploaded 2020-01-06 | Available |
| 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 | Available |
| SSB_NISVS_12.7.22.docx |
Supporting Statement B | Uploaded 2023-02-16 | Repair queued |
| SSA_0822_NISVS_12.7.22_revised 3.28.23_CLEAN.docx |
Supporting Statement A | Uploaded 2023-05-03 | Available |
| SSA_0822_NISVS_12.7.22_revised 3.28.23_CLEAN.docx |
Supporting Statement A | Uploaded 2023-05-03 | Repair queued |
IC Document Collections
| IC ID | Collection | Type | Status | Form |
|---|---|---|---|---|
| 239171 |  Questionnaire, phone (Att. K-L) |
Form and Instruction | Unchanged | |
| 239171 | Questionnaire, phone (Att. K-L) |
Form and Instruction | Unchanged | |
| 239169 | Questionnaire, web (Att. K-L) |
Form and Instruction | Unchanged | |
| 239169 | Questionnaire, web (Att. K-L) |
Form and Instruction | Unchanged | |
| 239167 | Screener (Att. K-N ) |
Form and Instruction | Unchanged | |
| 239167 | Screener (Att. K-N ) |
Form and Instruction | Unchanged | |
| 239165 | Advance Letter (Att. S-T) |
Form and Instruction | Unchanged | |
| 239165 | Advance Letter (Att. S-T) |
Form and Instruction | Unchanged |
ICR Details
| Status | Active |
|---|---|
| Agency/Subagency | HHS/CDC |
| OMB Control No | 0920-0822 |
| Type of Information Collection | No material or nonsubstantive change to a currently approved collection |
| Previous ICR Reference No | 202311-0920-009 |
| Agency Tracking No | 0920-0822 |
| Date Submitted to OIRA | 2025-03-28 |
| Requested Expiration Date | 1969-12-31 |