Pilot Study Examining Interpersonal Violence Experienced By Young Adults

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form 1123-0NEW NIJ National IV Study Survey Instrument	Form and Instruction	New	Available
OMB Supporting Statement Part B_Version 10.docx	Supporting Statement B	Uploaded 2026-04-27	Available
1190-0018 supporting statement_IER_4_14_26.docx	Supporting Statement A	Uploaded 2026-04-27	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
280095	NIJ National IV Study Survey Instrument	Form and Instruction	New	NIJ National IV Study Survey Instrument

ICR Details

OMB Control No:	ICR Reference No: 202604-1121-003
Status: Received in OIRA	Previous ICR Reference No:
Agency/Subagency: DOJ/OJP	Agency Tracking No:
Title: Pilot Study Examining Interpersonal Violence Experienced By Young Adults
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Regular	Date Submitted to OIRA: 04/27/2026

table that charts list comparision

	Requested	Previously Approved
Expiration Date	36 Months From Approved
Responses	1,500,000	0
Time Burden (Hours)	300,000	0
Cost Burden (Dollars)	0	0

---

Abstract: The Pilot Study Examining Interpersonal Violence Experienced By Young Adults will recruit a national probability sample of approximately 5,000 young adults with a goal of having a total of 150-300 individuals who respond to the survey. The survey will be administered in the summer of the recruitment year, 2026, and respondents must have either graduated from high school or be no longer in high school. Respondents must be at least 18 years old to be eligible for recruitment. The goals of this study are to pilot test a survey instrument and recruitment methods to examine interpersonal violence (IV) among college-aged persons (ages 18-24) in order to better understand the risks for, experiences with, and consequences of IV among young adults. Of particular interest are the differences between the victimization and perpetration of those who do and do not attend college. The survey will be designed to examine a range of IV committed by partners, family members, acquaintances, and strangers, including nonconsensual sexual contact, intimate partner violence, and stalking. At a stage of the lifespan when we are most vulnerable to interpersonal violence this study could address gaps in knowledge about the experiences of young adults not engaged in post-secondary education and the differences in experiences between groups.

---

Authorizing Statute(s): None

Citations for New Statutory Requirements: None

---

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	89 FR 85557	10/28/2024
30-day Notice:	Federal Register Citation:	Citation Date:
	91 FR 22547	04/27/2026
Did the Agency receive public comments on this ICR? Yes

---

Number of Information Collection (IC) in this ICR: 1

table that charts list of burden

IC Title	Form No.	Form Name
NIJ National IV Study Survey Instrument	1123-0NEW	NIJ National IV Study Survey Instrument

---

ICR Summary of Burden

table that charts list of burden

	Total Request	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	1,500,000	0	0	1,500,000	0	0
Annual Time Burden (Hours)	300,000	0	0	300,000	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: This is a new collection.

---

Annual Cost to Federal Government: $1,052,494

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     Yes

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? Yes

Is this ICR related to the Pandemic Response? No

---

Common Form ICR:  No

---

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 04/27/2026

---