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: 202105-0920-008
Status: Historical Active	Previous ICR Reference No: 202001-0920-001
Agency/Subagency: HHS/CDC	Agency Tracking No: 0920-0822-21FG
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: 09/02/2021
Retrieve Notice of Action (NOA)	Date Received in OIRA: 05/26/2021
Terms of Clearance: Previous terms continue. CDC will brief OIRA desk officers in advance of upcoming changes. Discussion stemming from this study will also include a discussion of how the Covid-19 response environment may have influenced the generalizability of these findings.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	03/31/2023	03/31/2023	03/31/2023
Responses	534	0	4,258
Time Burden (Hours)	101	0	1,189
Cost Burden (Dollars)	2,676	0	31,405

ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to Agency Discretion
Annual Number of Responses	534	4,258	-3,724
Annual Time Burden (Hours)	101	1,189	-1,088
Annual Cost Burden (Dollars)	2,676	31,405	-28,729

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: This change request is for pilot testing as discussed in the previously approved ICR. Updated documents were not included in the previous submission making this request seem somewhat incongruous with requested changes.

Annual Cost to Federal Government: $3,725,698

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. Yes

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? No

Agency Contact: Shari Steinberg 404 639-4942 sxw2@cdc.gov