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Federal forms, ICRs, and supporting documents

Information Collection Request

The National Intimate Partner and Sexual Violence Survey (NISVS)

ICR 200603-0920-002 · OMB 0920-0724 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC IDCollectionTypeStatusForm
7193 The National Intimate Partner and Sexual Violence Survey (NISVS) Migrated
ICR Details
0920-0724 200603-0920-002
Historical Active
HHS/CDC
The National Intimate Partner and Sexual Violence Survey (NISVS)
New collection (Request for a new OMB Control Number)   No
Regular
Approved with change 07/06/2006
Retrieve Notice of Action (NOA) 03/09/2006
Approved consistent with the following terms of clearance: approved consistent with CDC memo submitted to OMB clarifying that "data will not be used to develop estimates that will be published as representative of the US," and "the results of this study will only be used to inform the design" of a future collection. For any additional work that CDC plans based on this pilot study CDC will include a detailed discussion on planned non-response bias analysis. While "raking" tends to reduce bias on the variables being "raked" to, this procedure alone is insufficient to account for potential response bias, and will not ensure a representative response of the population surveyed. Additionally, upon completion of this survey CDC shall submit a copy of the results and analysis to OMB for inclusion in the docket.
  Inventory as of this Action Requested Previously Approved
08/31/2008 08/31/2008
15,065 0 0
1,552 0 0
0 0 0
The purpose of this project is to pilot test a random digit dial telephone survey to estimate the prevalence of victimization and perpetration of intimate partner violence (IPV), sexual violence (SV) and stalking. The goals for the survey will be to determine the optimal order for asking questions about IPV, SV, and stalking, and to provide information that will assist in the selection of specific language to introduce IPV, SV and stalking questions in an ongoing national violence survey.
None
None
No
1
IC Title Form No. Form Name
The National Intimate Partner and Sexual Violence Survey (NISVS)
  Total Approved 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 15,065 0 0 15,065 0 0
Annual Time Burden (Hours) 1,552 0 0 1,552 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
No
$0
Yes Part B of Supporting Statement
No
Uncollected
Uncollected
Uncollected
Uncollected
  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:
 
 
 
 
 
 
 
    (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;
 
 
 
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.
03/09/2006