Information Collection

National Crime Victimization Survey

IC 249433 under ICR 202309-1121-001 · OMB 1121-0111.

⚠️ Notice: This information collection may be referencing outdated material.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-1 National Crime Victimization Survey Form and Instruction
NCVS-500 (Control Card).pdf Instruction
NCVS-500 (Control Card).pdf Instruction
NCVS-1 Basic Screener NCVS-1 (Basic Screen Questionnaire) no expiration date.pdf Form and Instruction
NCVS-1 Basic Screener NCVS-1 (Basic Screen Questionnaire) no expiration date.pdf Form and Instruction
NCVS-2 Crime Incident Report NCVS-2 (Crime Incident Report) no expiration date.pdf Form and Instruction
NCVS-2 Crime Incident Report NCVS-2 (Crime Incident Report) no expiration date.pdf Form and Instruction
attachments for OMB clearance.pdf NCVS Core Attachments IC Document
attachments for OMB clearance.pdf NCVS Core Attachments IC Document

Information Collection (IC) Details

View Information Collection (IC)

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

Is this a Common Form? No		IC Status: Removed

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	NCVS-1	Basic Screener	NCVS-1 (Basic Screen Questionnaire) no expiration date.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	NCVS-2	Crime Incident Report	NCVS-2 (Crime Incident Report) no expiration date.pdf	Yes	Yes	Fillable Fileable
Instruction			NCVS-500 (Control Card).pdf	Yes	Yes	Fillable Fileable

Line of Business: Law Enforcement

Subfunction: Crime Prevention

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 124,663	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 90 %

	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	-249,326	249,326
Annual IC Time Burden (Hours)	-117,545	117,545
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
NCVS Core Attachments	attachments for OMB clearance.pdf	09/22/2021

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