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Agenda
Reg Review
ICR
View Information Collection (IC)
View Information Collection (IC)
IC Title:
National Inmate Survey, 2010
Agency IC Tracking Number:
BJS
Is this a Common Form?
No
IC Status:
Removed
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
PAPI
National Inmate Survey
Natl Inmate Survey_PAPI_M12_v3.pdf
No
Printable Only
Form and Instruction
NIS-FQ-1
NIS Facility Questionnaire
FacilitySurvey1.pdf
Yes
Yes
Fillable Fileable
Form and Instruction
NIS - Pilot
National Inmate Survey: Year 3 Pilot
Draft Year 3 NIS.doc
Yes
Yes
Fillable Fileable
Form
D
NIS PAPI
D_NIS_PAPI_MArrive[1].pdf
Yes
Yes
Fillable Fileable
Form
NIS PAPI M
NIS PAPI M
D_NIS_PAPI_M12[1].pdf
Yes
Yes
Fillable Fileable
Form
NIS PAPA Arrive
NIS PAPI Arrive
D_NIS_PAPI_FArrive[1].pdf
Yes
Yes
Fillable Fileable
Form
NIS PAPI F12
NIS PAPI F12
D_NIS_PAPI_F12[1].pdf
Yes
Yes
Fillable Fileable
Form
No Number
A NIS Questionnaire
Revised_A_NISQuestionnaire (2).doc
Yes
Yes
Fillable Fileable
Form
No Number
National Inmate Survey Year 3 Alt
Revised_B_NIS_AltQuestionniare (2).doc
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:
105,500
Number of Respondents for Small Entity:
0
Affected Public:
State, Local, and Tribal Governments
Percentage of Respondents Reporting Electronically:
99 %
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
0
0
-105,500
0
105,500
0
Annual IC Time Burden (Hours)
0
0
-63,681
0
63,681
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Item Changes
ItemChangesPREA.doc
08/26/2009
Juvenile Consent Card
G_ACASI_Juvenile_Consent_Card[1].doc
03/24/2010
ACASI Consent Form
E_ACASI_Consent_Form[1].doc
03/24/2010
ACASI Concent Card
F_ACASI_Consent_Card[1].doc
03/24/2010
NIC PAPI Consent
C_NIS_PAPIConsent[1].doc
03/24/2010
Mental Verification
H_MCVerification[1].doc
03/24/2010
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.