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Methodological Research to Support the NCVS: Self-Report Data on Rape and Sexual Assault: Pilot Test

IC 209193 under ICR 201408-1121-004 · OMB 1121-0343.

Documents and Forms
Document Name
Document Type
Form
Instruction
Instruction
Form
Form and Instruction
Form and Instruction
Form
Form
Form
Form
Form and Instruction
Form and Instruction
IC Document
IC Document
Information Collection (IC) Details

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Methodological Research to Support the NCVS: Self-Report Data on Rape and Sexual Assault: Pilot Test BJS
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form N/A Demographics W3 Demographics.docx Yes Yes Fillable Fileable
Instruction W2 ACASI Tutorial.docx Yes Yes Fillable Fileable
Instruction W1 Event History Calendar.docx Yes Yes Fillable Fileable
Form and Instruction N/A ACASI Questionnaire W ACASI questionnaire.docx Yes Yes Fillable Fileable
Form and Instruction N/A V CATI Questionnaire V CATI questionnaire.docx Yes Yes Fillable Fileable
Form N/A National Study on Health and Safety C Field_Mail_Household_Roster_Survey.pdf Yes Yes Fillable Fileable
Form N/A ACASI Household Screener E Field ACASI Household Roster.doc Yes Yes Fillable Fileable
Form N/A CATI Landline Screener G CATI Landline Screener.docx Yes Yes Fillable Fileable
Form N/A CATI Cell Phone Screener H CATI Cell Phone Screening.docx Yes Yes Fillable Fileable
Form and Instruction N/A Recruitment Screener M High Risk Recruit Script.docx Yes Yes Fillable Fileable
Form and Instruction N/A Cell Phone Screener T-1 Modified Phone Questionnaire_for cell only feasibility 2 test.docx Yes Yes Fillable Fileable

Law Enforcement Crime Prevention

 

55,060 0
   
Individuals or Households
 
   100 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 55,060 0 2,000 0 0 53,060
Annual IC Time Burden (Hours) 11,894 0 29 0 0 11,865
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Attachments A-Z with Table of Contents All Attachments A-Z with TOC.pdf 11/05/2013
Submission of burden changes to the Rape and Sexual Assault Pilot Study OMB memo.docx 08/06/2014
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.