Information Collection

Deaths in Custody-series of collections from local jails, State prisons, juvenile and law enforcement detention centers

IC 12561 under ICR 200303-1121-003 · OMB 1121-0249.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1121-0249 can be found here:

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Information Collection (IC) Details

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IC Title:	Deaths in Custody-series of collections from local jails, State prisons, juvenile and law enforcement detention centers	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Migrated

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Available Electronically?	Can Be Submitted Electronically?
Form	CJ-11	Yes	Yes
Form	NPS-5A	Yes	Yes
Form	CJ-9A	Yes	Yes
Form	NPS-5	Yes	Yes
Form	CJ-9	Yes	Yes
Form	NPS-4	Yes	Yes
Form	CJ-10	Yes	Yes
Form	CJ-10A	Yes	Yes
Form	CJ-11A	Yes	Yes
Form	NPS-4A	Yes	Yes

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 3,236	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 16 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	16,475	408	16,067
Annual IC Time Burden (Hours)	4,319	517	3,802
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.