National Crime Victimization Survey Split Sample

National Crime Victimization Survey

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1121-0111 can be found here:

Documents and Forms

Document Name Document Type
Form NCVS-500, NCVS-1, National Crime Victimization Survey Split Sample Form and Instruction
NCVS-500, NCVS-1, National Crime Victimization Survey Screener and Inciden NCVS Current Questionnaire.pdf Form and Instruction
NCVS-500, NCVS-1, National Crime Victimization Survey Screener and Inciden NCVS Current Questionnaire.pdf Form and Instruction
National Crime Victimization Survey Redesigned Survey NCVS Redesign Questionnaire.pdf Form and Instruction
National Crime Victimization Survey Redesigned Survey NCVS Redesign Questionnaire.pdf Form and Instruction
NCVS Redesign Split Sample Attachments.pdf NCVS Split Sample Attachments IC Document
NCVS Redesign Split Sample Attachments.pdf NCVS Split Sample Attachments IC Document

Information Collection (IC) Details

IC Title:	National Crime Victimization Survey Split Sample	Agency IC Tracking Number:	BJS

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	NCVS-500, NCVS-1, NCVS-2	National Crime Victimization Survey Screener and Incident Form	NCVS Current Questionnaire.pdf		Yes	Yes	Fillable Fileable
Form and Instruction	N/A	National Crime Victimization Survey Redesigned Survey	NCVS Redesign Questionnaire.pdf		Yes	Yes	Fillable Fileable

Line of Business: Law Enforcement

Subfunction: Crime Prevention

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 182,504	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	354,831	354,831
Annual IC Time Burden (Hours)	124,888	124,888
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
NCVS Split Sample Attachments	NCVS Redesign Split Sample Attachments.pdf	09/18/2023

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