OMB control number
[NCIPC] The National Intimate Partner and Sexual Violence Survey (NISVS)
OMB 0920-0822 · HHS/CDC.
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.
The latest form for [NCIPC] The National Intimate Partner and Sexual Violence Survey (NISVS) expires 2026-05-31 and can be found here.
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Form 0920-0822 Questionnaire, phone (Att. K-L)
CHANGE REQUEST 0920-0822_Common Form.docx
Att H_NISVS Cognitive Testing Reports.pdf
Questionnaire, phone (Att. K-L) Advance Letter (Att. S-T)
Federal Enterprise Architecture: Health - Public Health Monitoring
| Form 0920-0822 | Att T_Advance Letters_Spanish | Fillable Fileable | Form and instruction |
| Form 0920-0822 | Att S_Advance Letters_English | Fillable Fileable | Form and instruction |
Review document collections for all forms, instructions, and supporting documents - including paper/printable forms.