View Information Collection Request (ICR) Package
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Please note that the OMB number and expiration date may not have been determined when this Information Collection Request and associated Information Collection forms were submitted to OMB. The approved OMB number and expiration date may be found by clicking on the Notice of Action link below.
View ICR - OIRA Conclusion
OMB Control No:
0920-0822
ICR Reference No:
201604-0920-012
Status:
Historical Active
Previous ICR Reference No:
201601-0920-018
Agency/Subagency:
HHS/CDC
Agency Tracking No:
0920-0822
Title:
The National Intimate Partner and Sexual Violence Survey (NISVS)
Type of Information Collection:
Revision of a currently approved collection
Common Form ICR:
No
Type of Review Request:
Regular
OIRA Conclusion Action:
Approved with change
Conclusion Date:
07/25/2016
Retrieve Notice of Action (NOA)
Date Received in OIRA:
05/13/2016
Terms of Clearance:
Approval is provided for data collection for 2016 - 2018, contingent on OMB’s understanding that CDC is committed to: a) obtaining advice from a panel of experts in survey methods regarding how to address design concerns raised by the National Research Council; b) continuing to collaborate with the Bureau of Justice Statistics; c) continuing to incorporate changes to the questionnaire to reduce burden and increase utility (including adopting best practices for sexual orientation and gender identity questions), and d) keeping OMB informed of the recommendations of the survey design experts and how CDC intends to address their recommendations. A timeline for addressing these terms of clearance is uploaded as a supplemental document.
Inventory as of this Action
Requested
Previously Approved
Expiration Date
07/31/2018
36 Months From Approved
07/31/2016
Responses
279,600
0
97,590
Time Burden (Hours)
27,107
0
9,525
Cost Burden (Dollars)
0
0
0
Abstract:
The National Intimate Partner and Sexual Violence Survey is an ongoing, nationally representative survey to assess experiences of intimate partner violence, sexual violence and stalking among adults in the US. It measures lifetime victimization for these types of violence as well as in the previous 12 months. The Revision requests a continuation of data collection among non-institutionalized adult men and women aged 18 years or older in the United States assessing lifetime experiences of intimate partner violence (IPV), sexual violence (SV) and stalking with a new and improved data collection tool aimed at reducing the time and complexity of the instrument, thus reducing the burden on the respondent. In addition, in collaboration with the Department of Defense (DoD), NISVS (using the same newly revised survey described above)will collect information regarding the experiences of IPV, SV and stalking among active duty women and men in the military and wives of active duty men.
Authorizing Statute(s):
US Code:
42 USC 241
Name of Law: Public Health Service Act
Citations for New Statutory Requirements:
None
Associated Rulemaking Information
RIN:
Stage of Rulemaking:
Federal Register Citation:
Date:
Not associated with rulemaking
Federal Register Notices & Comments
60-day Notice:
Federal Register Citation:
Citation Date:
80 FR 28618
05/19/2015
30-day Notice:
Federal Register Citation:
Citation Date:
81 FR 29266
05/11/2016
Did the Agency receive public comments on this ICR?
No
Number of Information Collection (IC) in this ICR:
4
IC Title
Form No.
Form Name
App C_Recruitment Web Screener
App D_Recruitment Phone Screener
App G_Cognitive Laboratory Survey
National Intimate Partner and Sexual Violence Screen - General Population
NA, NA
National Intimate Partner and Sexual Violence Screen/Survey (NISVS) 3.0 General Population and Military - FINAL English
,
National Intimate Partner and Sexual Violence Screen/Survey (NISVS) 3.0 General Population and Military - FINAL Spanish
National Intimate Partner and Sexual Violence Screen - Military
NA
National Intimate Partner and Sexual Violence Screen/Survey (NISVS) 3.0 General Population and Military - FINAL English
National Intimate Partner and Sexual Violence Survey - General Population
NA, NA
National Intimate Partner and Sexual Violence Screen/Survey (NISVS) 3.0 - General Population and Military - FINAL English
,
National Intimate Partner and Sexual Violence Screen/Survey (NISVS) 3.0 General Population and Military - FINAL Spanish
National Intimate Partner and Sexual Violence Survey - Military
NA
National Intimate Partner and Sexual Violence Screen/Survey (NISVS) 3.0 General Population and Military - FINAL English
ICR Summary of Burden
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
279,600
97,590
0
182,010
0
0
Annual Time Burden (Hours)
27,107
9,525
0
17,582
0
0
Annual Cost Burden (Dollars)
0
0
0
0
0
0
Burden increases because of Program Change due to Agency Discretion:
Yes
Burden Increase Due to:
Miscellaneous Actions
Burden decreases because of Program Change due to Agency Discretion:
Yes
Burden Reduction Due to:
Miscellaneous Actions
Short Statement:
Revision of NISVS results in removal of a number of information collections and an overall increase in Burden Hours due to a change in the periodicity of the survey and addition of DoD/Military participants..
Annual Cost to Federal Government:
$4,895,472
Does this IC contain surveys, censuses, or employ statistical methods?
Yes
Part B of Supporting Statement
Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002?
No
Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]?
No
Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]?
No
Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)?
No
Is this ICR related to the Pandemic Response?
Uncollected
Agency Contact:
Jeffrey Zirger 404 639-7118 wtj5@cdc.gov
Common Form ICR:
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:
(a) It is necessary for the proper performance of agency functions;
(b) It avoids unnecessary duplication;
(c) It reduces burden on small entities;
(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;
(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;
(f) It indicates the retention periods for recordkeeping requirements;
(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:
(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;
(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.
(i) It uses effective and efficient statistical survey methodology (if applicable); and
(j) It makes appropriate use of information technology.
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.
Certification Date:
05/13/2016
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