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Agenda
Reg Review
ICR
View Information Collection (IC)
View Information Collection (IC)
IC Title:
Deaths in Custody Reporting Program
Agency IC Tracking Number:
BJS
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Voluntary
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form and Instruction
NPS-4; NPS-4A
Deaths in Custody, 2012 Annual Summary of Inmate Deaths in State Prisons and 2013 State Prison Inmate Death Report
DCRP-prisons 2012 ASF form and 2013 death form.pdf
Yes
Yes
Fillable Fileable
Form and Instruction
CJ-9A/CJ-10A
2013 Annual Summary on Inmates Under Jail Jurisdiction
Appendix_C_2013 CJ-9A_10A.pdf
Yes
Yes
Fillable Fileable
Form and Instruction
CJ-11; CJ-11A
Arrest-Related Deaths Summary of Incidents, 2013; Arrest-Related Deaths Incident Report, 2013; and Question by Question Guide for CJ-11A
DCRP-ARD 2013 summary and death forms.pdf
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Correctional Activities
Subfunction:
Criminal Incarceration
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
11,308
Number of Respondents for Small Entity:
0
Affected Public:
State, Local, and Tribal Governments
Percentage of Respondents Reporting Electronically:
100 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
11,308
0
0
0
0
11,308
Annual IC Time Burden (Hours)
7,726
0
3,597
0
0
4,129
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Appendix C - All Attachments
Appendix C Attachments A-J.pdf
09/21/2012
Draft Screen Shots for Prisons and Jails Web Form
DCRP Web Form Screen Shots.docx
09/21/2012
Example of Cover Letter with Confidentiality Assurance
jail letter with confidentiality assurances_OMB 2012.doc
12/18/2012
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.