Information Collection

NCVS Redesign Questionnaire

IC 270517 under ICR 202504-1121-001 · 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⚠️ Notice: This information collection may be referencing outdated material.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
NCVS Redesign Questionnaire	Form and Instruction
NCVS Redesign Questionnaire NCVS Redesign Questionnaire	Form and Instruction
NCVS hate crime nonsubstantive memo attachments_04.07.25.pdf	Instruction
NCVS hate crime nonsubstantive memo attachments_04.07.25.pdf	Instruction
NCVS Redesign Questionnaire 2024 NCVS Q3-4 Redesign Questionnaire v1.0.pdf	Form and Instruction
NCVS Redesign Questionnaire 2024 NCVS Q3-4 Redesign Questionnaire v1.0.pdf	Form and Instruction
Attachments_NCVS Redesign 2025.pdf Revised Attachments	IC Document
Attachments_NCVS Redesign 2025.pdf Revised Attachments	IC Document

IC Title:

NCVS Redesign Questionnaire

Agency IC Tracking Number:

BJS

Is this a Common Form? No

IC Status: Modified

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	N/A				Yes	Yes	Fillable Fileable
Instruction					Yes	Yes	Fillable Fileable

Line of Business: Law Enforcement

Subfunction: Crime Prevention

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 180,831

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 80 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	180,831	180,831
Annual IC Time Burden (Hours)	156,241	156,241
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Revised Attachments		08/29/2024

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

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