[NCIPC] The National Intimate Partner and Sexual Violence Survey (NISVS)

ICR 202503-0920-002

OMB: 0920-0822

Federal Form Document

Forms and Documents

Document Name	Status
Form 0920-0822 Questionnaire, phone (Att. K-L) Form and Instruction	Unchanged
Form 0920-0822 Questionnaire, web (Att. K-L) Form and Instruction	Unchanged
Form 0920-0822 Screener (Att. K-N ) Form and Instruction	Unchanged
Form 0920-0822 Advance Letter (Att. S-T) Form and Instruction	Unchanged
CHANGE REQUEST 0920-0822_Common Form.docx Justification for No Material/Nonsubstantive Change	2025-03-03
SSA_0822_NISVS_10.16.23_CLEAN.docx Supplementary Document	2023-11-09
NISVS_Non-substantive Change Request_10.19.2023.docx Supplementary Document	2023-11-09
Att I_Overview of NISVS-5 Survey Revisions_REV1.10.23Clean.docx Supplementary Document	2023-02-16
Att H_NISVS Cognitive Testing Reports.pdf Supplementary Document	2023-02-16
Att G_NISVS Redesign_Pilot Test Final Report.docx Supplementary Document	2023-02-16
Att F_Nonresponse Follow-up Study Report.docx Supplementary Document	2023-02-16
Att E_Feasibility Study Report.docx Supplementary Document	2023-02-16
Att B_Federal register notice.pdf Supplementary Document	2023-02-16
Att A_AuthLeg_0822.docx Supplementary Document	2023-02-16
Att R_PIA_NISVS.pdf Supplementary Document	2023-02-16
Att U_Research or Non-Research Determination for NISVS.pdf Supplementary Document	2023-02-16
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_12.7.22_revised 3.28.23_CLEAN.docx Supporting Statement A	2023-05-03

IC Document Collections

IC ID	Document Title	Status
239171	Questionnaire, phone (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
239165	Advance Letter (Att. S-T) Form and Instruction	Unchanged