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:
202503-0920-002
Status:
Active
Previous ICR Reference No:
202311-0920-009
Agency/Subagency:
HHS/CDC
Agency Tracking No:
0920-0822
Title:
[NCIPC] 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:
Yes
Type of Review Request:
Regular
OIRA Conclusion Action:
Approved without change
Conclusion Date:
04/18/2025
Retrieve Notice of Action (NOA)
Date Received in OIRA:
03/28/2025
Terms of Clearance:
Inventory as of this Action
Requested
Previously Approved
Expiration Date
05/31/2026
05/31/2026
05/31/2026
Responses
211,067
0
211,067
Time Burden (Hours)
17,949
0
17,949
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. NISVS has historically been administered through random-digit-dial sampling. From 2018-2021, CDC conducted feasibility testing and pilot testing aimed at developing methods for transitioning NISVS to an address-based sampling design that would reduce reliance on cell and landline phone participation and improve response rates. The modification in this revision request is to do a full-scale implementation of address-based sampling frame with push-to-web data collection and a call-in telephone option, intended to increase the response rate, and reduce respondent burden.
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:
87 FR 12705
03/22/2022
30-day Notice:
Federal Register Citation:
Citation Date:
88 FR 3989
01/23/2023
Did the Agency receive public comments on this ICR?
Yes
Number of Information Collection (IC) in this ICR:
4
IC Title
Form No.
Form Name
Advance Letter (Att. S-T)
0920-0822, 0920-0822
Att S_Advance Letters_English
,
Att T_Advance Letters_Spanish
Questionnaire, phone (Att. K-L)
0920-0822, 0920-0822
Att K_Web_Phone Screeners and Survey Instrument_English
,
Att L_Web_Phone Screeners and Survey Instrument_Spanish
Questionnaire, web (Att. K-L)
0920-0822, 0920-0822
Att K_Web_Phone Screeners and Survey Instrument_English_REV1.10.23Clean
,
Att L_Web_Phone Screeners and Survey Instrument_Spanish
Screener (Att. K-N )
0920-0822, 0920-0822
Att K_Web_Phone Screeners and Survey Instrument_English
,
Att N_Paper Screener_Spanish
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
211,067
211,067
0
0
0
0
Annual Time Burden (Hours)
17,949
17,949
0
0
0
0
Annual Cost Burden (Dollars)
0
0
0
0
0
0
Burden increases because of Program Change due to Agency Discretion:
No
Burden Increase Due to:
Burden decreases because of Program Change due to Agency Discretion:
No
Burden Reduction Due to:
Short Statement:
The sample size was substantially reduced during the redesign and pilot testing phase (i.e., sampled fewer respondents). The current request ramps the sample back up in conjunction with implementing the changes made during the redesign and testing phase. The estimated burden in this revision is higher than that the previously approved burden. The total burden increase for this revision is due to the changes made in sampling and survey methods. Note that the reduction in "cost" burden is due to a change in the method of calculation, not a difference in cost (CDC is adopting the HHS method of calculation in all of their packages.)
Annual Cost to Federal Government:
$9,092,501
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:
Jeffrey Zirger 404 639-7118 wtj5@cdc.gov
Common Form ICR:
Yes
Description/Changes for Common Form Usage:
NCIPC intends to Discontinue this data collection. However, attempts to perform this action in ROCIS result in an Error Message “The OMB Control Number cannot be Discontinued because it is a Common Form.” This Non-Substantive Change Request is submitted to change the status of this collection and allow the subsequent submission of a Discontinuation. There is no change in burden.
Approved RCFs using this ICR
Agency/Sub Agency
RCF ID
RCF Title
RCF Status
IC Title
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:
03/28/2025
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