Information Collection

Cognitive Testing under the National Crime Victimization Survey (NCVS) Redesign Crime Incident Report (CIR)

IC 225661 under ICR 201510-1121-007 · OMB 1121-0325.

Documents and Forms

Document Name Document Type
Cognitive Testing under the National Crime Victimization Survey (NCVS) Redesign Crime Incident Report (CIR) Form and Instruction
NCVS-R: CIR COGNITIVE INTERVIEW PROTOCOL ROUND 1 Attachment A1_CIR Round 1.docx Form and Instruction
NCVS-R: CIR COGNITIVE INTERVIEW PROTOCOL ROUND 2 Attachment A2_CIR Round 2.docx Form and Instruction
NCVS-R Screener Round 1 Youth Testing Attachment A3_Youth screener testing_long cues.docx Form and Instruction
NCVS-R: SCREENER COGNITIVE INTERVIEW YOUTH SCREENER TEST Attachment A3A_Youth screener testing_long cues_protocol.docx Form and Instruction
NCVS Redesign CIR Cognitive Testing Attachments.pdf CIR Cognitive Testing Attachments IC Document
NCVS redesign - Memo requesting clearance for CIR cognitive testing 030117.docx Memo Requesting Clearance for CIR Cognitive Testing IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Cognitive Testing under the National Crime Victimization Survey (NCVS) Redesign Crime Incident Report (CIR)	Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	N/A	NCVS-R: CIR COGNITIVE INTERVIEW PROTOCOL ROUND 1	Attachment A1_CIR Round 1.docx	Yes	Yes	Fillable Fileable
Form and Instruction	N/A	NCVS-R: CIR COGNITIVE INTERVIEW PROTOCOL ROUND 2	Attachment A2_CIR Round 2.docx	Yes	Yes	Fillable Fileable
Form and Instruction	N/A	NCVS-R Screener Round 1 Youth Testing	Attachment A3_Youth screener testing_long cues.docx	Yes	Yes	Fillable Fileable
Form and Instruction	N/A	NCVS-R: SCREENER COGNITIVE INTERVIEW YOUTH SCREENER TESTING PROTOCOL Long Cues	Attachment A3A_Youth screener testing_long cues_protocol.docx	Yes	Yes	Fillable Fileable

Line of Business: Law Enforcement

Subfunction: Crime Prevention

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 120	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	120	120
Annual IC Time Burden (Hours)	180	180
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
CIR Cognitive Testing Attachments	NCVS Redesign CIR Cognitive Testing Attachments.pdf	02/10/2017
Memo Requesting Clearance for CIR Cognitive Testing	NCVS redesign - Memo requesting clearance for CIR cognitive testing 030117.docx	03/02/2017

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