Non-Substantive Change Request Memo [03MAR2025] - COMMON FORM

CHANGE REQUEST 0920-0822_Common Form.docx

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

Non-Substantive Change Request Memo [03MAR2025] - COMMON FORM

OMB: 0920-0822

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Non-Substantive Change Request



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


OMB Control No. 0920-0822



Project Officer:

Jeffrey M. Zirger, PhD

Information Collection Review Office (ICRO)

Office of Science (OS)

Centers for Disease Control and Prevention (CDC)


Phone: 470 217-8909

E-mail: wtj5@cdc.gov


Justification for Non-Substantive Change

The Centers for Disease Control and Prevention (CDC), National Center for Injury Prevention and Control (NCIPC) seeks approval from the Office of Management and Budget (OMB) for a Non-Substantive Change Request to OMB Control No. 0920-0822 - [NCIPC] The National Intimate Partner and Sexual Violence Survey (NISVS). NCIPC intends to Discontinue the data collection. However, attempts to perform this action in ROCIS result in an Error Message “The OMB Control Number cannot be Discontinued because it is a Common Form.” NIOSH did not intend to have this data collection approved as a Common Form and this was done in error. This Non-Substantive Change Request is submitted to change the status of this collection and allow the subsequent submission of a Discontinuation. There is no change in burden.



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