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:
201906-0920-002
Status:
Historical Active
Previous ICR Reference No:
201712-0920-001
Agency/Subagency:
HHS/CDC
Agency Tracking No:
0920-0822-19BGX
Title:
The National Intimate Partner and Sexual Violence Survey (NISVS)
Type of Information Collection:
No material or nonsubstantive change to a currently approved collection
Common Form ICR:
No
Type of Review Request:
Regular
OIRA Conclusion Action:
Approved without change
Conclusion Date:
06/17/2019
Retrieve Notice of Action (NOA)
Date Received in OIRA:
06/17/2019
Terms of Clearance:
Previous terms continue. CDC will brief OIRA desk officers in advance of upcoming changes and findings from cognitive testing.
Inventory as of this Action
Requested
Previously Approved
Expiration Date
02/29/2020
02/29/2020
02/29/2020
Responses
239,700
0
239,700
Time Burden (Hours)
25,336
0
25,216
Cost Burden (Dollars)
0
0
0
Abstract:
The National Intimate Partner and Sexual Violence Survey is an ongoing, nationally representative survey of non-institutionalized adult men and women aged 18 years or older in the United States assessing lifetime experiences 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. This Non-Substantive Change Request is submitted for the addition of three Cognitive Testing Instruments (CATI, Paper, Web-based).
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:
82 FR 43988
09/20/2017
30-day Notice:
Federal Register Citation:
Citation Date:
82 FR 60998
12/26/2017
Did the Agency receive public comments on this ICR?
Yes
Number of Information Collection (IC) in this ICR:
3
IC Title
Form No.
Form Name
National Intimate Partner and Sexual Violence SCREEN - General Population
0920-0822, 0920-0822
National Intimate Partner and Sexual Violence Survey (NISVS) Screen/Survey - English
,
National Intimate Partner and Sexual Violence Survey (NISVS) Screen/Survey - Spanish
National Intimate Partner and Sexual Violence SURVEY - General Population
0920-0822, 0920-0822
National Intimate Partner and Sexual Violence Survey (NISVS) Screen/Survey - English
,
National Intimate Partner and Sexual Violence Survey (NISVS) Screen/Survey - Spanish
National Intimate Partner and Sexual Violence Survey (NISVS) - Developmental Testing
0920-0822, 0920-0822, 0920-0822, 0920-0822
Developmental Testing Tool for NISVS
,
NISVS - CATI COGNITIVE TESTING INSTRUMENT, ROUND 1
,
NISVS - PAPER COGNITIVE TESTING INSTRUMENT, ROUND 1
,
NISVS - WEB-BASED COGNITIVE TESTING INSTRUMENT, ROUND 1
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
239,700
239,700
0
0
0
0
Annual Time Burden (Hours)
25,336
25,216
0
120
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:
No
Burden Reduction Due to:
Short Statement:
Submission of the Non-Substantive Change Request (0920-0822, NISVS) includes addition of Cognitive Testing Instruments (CATI, Paper, Web-based), and results in an increase of 120 Burden Hours.
Annual Cost to Federal Government:
$7,557,338
Does this IC contain surveys, censuses, or employ statistical methods?
Yes
Part B of Supporting Statement
Does this ICR request any personally identifiable information (see
OMB Circular No. A-130
for an explanation of this term)? Please consult with your agency's privacy program when making this determination.
Yes
Does this ICR include a form that requires a Privacy Act Statement (see
5 U.S.C. §552a(e)(3)
)? Please consult with your agency's privacy program when making this determination.
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:
06/17/2019
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