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

OMB 0920-0822

The National Intimate Partner and Sexual Violence Survey is an ongoing, nationally representative survey of non-institutionalized adult men and women aged 18 years or older in the United States assessing lifetime experiences to assess experiences of intimate partner violence, sexual violence and stalking among adults in the US. It measures lifetime victimization for these types of violence as well as in the previous 12 months. This revision request describes the planned testing of a redesign of the National Intimate Partner and Sexual Violence Survey (NISVS) and the approach for collecting NISVS data using multiple data collection modes and sampling strategies. This revision request details 1) feasibility testing of the revised survey instruments, data collection modes, and incentive structures, and 2) pilot testing of the new design.

The latest form for [NCIPC] The National Intimate Partner and Sexual Violence Survey (NISVS) expires 2023-03-31 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
Form 0920-0822 Questionnaire, phone (Att. K-L) Form and Instruction
Form 0920-0822 Questionnaire, web (Att. K-L) Form and Instruction
Form 0920-0822 Screener (Att. K-N ) Form and Instruction
Form 0920-0822 Advance Letter (Att. S-T) Form and Instruction
SSA_0822_NISVS_10.16.23_CLEAN.docx Supplementary Document
NISVS_Non-substantive Change Request_10.19.2023.docx Supplementary Document
Att I_Overview of NISVS-5 Survey Revisions_REV1.10.23Clean.docx Supplementary Document
Att H_NISVS Cognitive Testing Reports.pdf Supplementary Document
Att G_NISVS Redesign_Pilot Test Final Report.docx Supplementary Document
Att F_Nonresponse Follow-up Study Report.docx Supplementary Document
Att E_Feasibility Study Report.docx Supplementary Document
Att B_Federal register notice.pdf Supplementary Document
Att A_AuthLeg_0822.docx Supplementary Document
Att R_PIA_NISVS.pdf Supplementary Document
Att U_Research or Non-Research Determination for NISVS.pdf Supplementary Document
NISVS Change Request 04JUN2021.docx Justification for No Material/Nonsubstantive Change
IRB Approval.pdf Supplementary Document
OMB Change Request for NISVS_5.4.21_FINAL (003).docx Justification for No Material/Nonsubstantive Change
Att O_Pilot Sample Design and Data Collection Procedures.docx Supplementary Document
Att N_Westat Recommendations for NISVS.docx Supplementary Document
Att K_Crosswalk of Survey Revisions.docx Supplementary Document
Att J_Screener Thank You Letter_CLEAN.docx Supplementary Document
Att I.5_Reminder Postcard_CLEAN.docx Supplementary Document
Att I.4_Survey Follow-up Letter_CLEAN.docx Supplementary Document
Att I.3_Screener Follow-up Letter_CLEAN.docx Supplementary Document
Att I.2_Advance Letter for Survey_CLEAN.docx Supplementary Document
Att I.1_Advance Letter for Screener_CLEAN.docx Supplementary Document
AttL_Cognitive Testing Protocol.docx Supplementary Document
AttK.2_NISVS Workgroup Summary.docx Supplementary Document
AttK.1_NISVS Workgroup Participants.docx Supplementary Document
AttG_PIA_NISVS.pdf Supplementary Document
AttF_Security Agreement.pdf Supplementary Document
AttD_IRB Approval.pdf Supplementary Document
AttC_Outside Consultation.pdf Supplementary Document
AttB1_60Day - FRN-0822.pdf Supplementary Document
AttA_AuthLeg_0822.docx Supplementary Document
SSB_NISVS_12.7.22.docx Supporting Statement B
SSA_0822_NISVS_12.7.22_revised 3.28.23_CLEAN.docx Supporting Statement A
Questionnaire, phone (Att. K-L) Form and Instruction
Questionnaire, web (Att. K-L) Form and Instruction
Screener (Att. K-N ) Form and Instruction
Advance Letter (Att. S-T) Form and Instruction

All Historical Document Collections

202311-0920-009 Approved without change	No material or nonsubstantive change to a currently approved collection	2023-11-09
202302-0920-017 Approved with change	Revision of a currently approved collection	2023-02-16
202105-0920-008 Approved without change	No material or nonsubstantive change to a currently approved collection	2021-05-26
202001-0920-001 Approved with change	Revision of a currently approved collection	2020-01-29
201906-0920-002 Approved without change	No material or nonsubstantive change to a currently approved collection	2019-06-17
201903-0920-007 Improperly submitted and continue	No material or nonsubstantive change to a currently approved collection	2019-04-08
201712-0920-001 Approved with change	Revision of a currently approved collection	2017-12-27
201604-0920-012 Approved with change	Revision of a currently approved collection	2016-05-13
201601-0920-018 Approved without change	No material or nonsubstantive change to a currently approved collection	2016-02-02
201410-0920-019 Approved with change	Reinstatement with change of a previously approved collection	2014-11-10
201305-0920-005 Approved without change	Revision of a currently approved collection	2013-05-10
201209-0920-002 Approved without change	Revision of a currently approved collection	2012-09-04
201011-0920-004 Approved without change	No material or nonsubstantive change to a currently approved collection	2010-11-09
201004-0920-003 Approved without change	No material or nonsubstantive change to a currently approved collection	2010-04-12
201003-0920-003 Approved without change	No material or nonsubstantive change to a currently approved collection	2010-03-10
200906-0920-020 Approved without change	New collection (Request for a new OMB Control Number)	2009-06-29

OMB Details

Phase 2- RDD (CATI) screener

Federal Enterprise Architecture: Health - Public Health Monitoring

Form none

RDD Screener

Fillable Fileable

Form and instruction

Review document collections for all forms, instructions, and supporting documents - including paper/printable forms.