National Inmate Survey (NIS)

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form xxx Research Triangle Institute Committee for the Protection of Human Subjects	Form	New	Available
Form xxx National Inmate Survey PAPI_M_arrived	Form	New	Available
Form xxx National Inmate Survey_PAPI_M_12	Form	New	Available
Form xxx National Inmate Survey_PAPI_F_arrived	Form	New	Available
Form xxx National Inmate Survey_PAPI_F_12	Form	New	Available
Form xxx National Inmate Survey (NIS) Questionnaire	Form	New	Available
Form xxx National Inmate Survey	Form	New	Available
Form xxx National Inmate Survey Consent to Participate in Research	Form	New	Available
Form xxx National Inmate Survey (NIS) Questionnaire	Form	New	Available
Form xxx National Inmate Survey Consent to Participate in Research	Form	New	Available
Form xxx Office of Research Protection and Ethics Institutional Review Board Notice of Approval	Form	New	Available
AttachG PAPIform.pdf	Supplementary Document	Uploaded 2007-01-17	Available
AttachF NIS-P PAPI Consent Form.doc	Supplementary Document	Uploaded 2007-01-17	Available
AttachE NIS ACASI survey.doc	Supplementary Document	Uploaded 2007-01-17	Repair queued
AttachD NIS-C ACASI Consent Form.doc	Supplementary Document	Uploaded 2007-01-17	Available
AttachC IRBApproval Notice.pdf	Supplementary Document	Uploaded 2007-01-17	Available
AttachB IRBresponse.doc	Supplementary Document	Uploaded 2007-01-17	Available
AttachA IRBprotocols.doc	Supplementary Document	Uploaded 2007-01-17	Available
Public Law 108-79.pdf	Supplementary Document	Uploaded 2007-01-17	Available
Supp Statement NIS-B.doc	Supporting Statement B	Uploaded 2006-09-26	Available
Updated Supp Statement NIS.doc	Supporting Statement A	Uploaded 2007-01-24	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
45382	National Inmate Survey (NIS)	Form	New	Research Triangle Institute Committee for the Protection of Human Subjects
45382	National Inmate Survey (NIS)	Form	New	National Inmate Survey PAPI_M_arrived
45382	National Inmate Survey (NIS)	Form	New	National Inmate Survey_PAPI_M_12
45382	National Inmate Survey (NIS)	Form	New	National Inmate Survey_PAPI_F_arrived
45382	National Inmate Survey (NIS)	Form	New	National Inmate Survey_PAPI_F_12
45382	National Inmate Survey (NIS)	Form	New	National Inmate Survey (NIS) Questionnaire
45382	National Inmate Survey (NIS)	Form	New	National Inmate Survey
45382	National Inmate Survey (NIS)	Form	New	National Inmate Survey Consent to Participate in Research
45382	National Inmate Survey (NIS)	Form	New	National Inmate Survey (NIS) Questionnaire
45382	National Inmate Survey (NIS)	Form	New	National Inmate Survey Consent to Participate in Research
45382	National Inmate Survey (NIS)	Form	New	Office of Research Protection and Ethics Institutional Review Board Notice of Approval

ICR Details

OMB Control No: 1121-0311	ICR Reference No: 200609-1121-002
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: DOJ/OJP	Agency Tracking No: BJS
Title: National Inmate Survey (NIS)
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 01/29/2007
Retrieve Notice of Action (NOA)	Date Received in OIRA: 01/09/2007
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	01/31/2010	36 Months From Approved
Responses	90,900	0	0
Time Burden (Hours)	45,763	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: The National Prison Rape Statistics Program is a collection mandated by Congress in the Prison Rape Elimination Act of 2003. The National Inmate Survey is the only national source of information on the number of sexual assault victims within correctional facilities. This part of the collection fulfills the legislative requirement to obtain data directly from inmates in order to generate a facility level estimate of sexual assault.

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Authorizing Statute(s): PL: Pub.L. 108 - 79 301 Name of Law: Prison Rape Elimination Act 2003
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	71 FR 58004	10/02/2006
30-day Notice:	Federal Register Citation:	Citation Date:
	71 FR 70536	12/05/2006
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

table that charts list of burden

IC Title	Form No.	Form Name
National Inmate Survey (NIS)	xxx, xxx, xxx, xxx, xxx, xxx, xxx, xxx, xxx, xxx, xxx	Research Triangle Institute Committee for the Protection of Human Subjects ,   Office of Research Protection and Ethics Institutional Review Board Notice of Approval ,   National Inmate Survey Consent to Participate in Research ,   National Inmate Survey (NIS) Questionnaire ,   National Inmate Survey Consent to Participate in Research ,   National Inmate Survey ,   National Inmate Survey (NIS) Questionnaire ,   National Inmate Survey_PAPI_F_12 ,   National Inmate Survey_PAPI_F_arrived ,   National Inmate Survey_PAPI_M_12 ,   National Inmate Survey PAPI_M_arrived

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ICR Summary of Burden

table that charts list 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	90,900	0	0	90,900	0	0
Annual Time Burden (Hours)	45,763	0	0	45,763	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Changing Regulations

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: Burden did not increase, this is a new collection.

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Annual Cost to Federal Government: $13,675,595

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? Uncollected

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? Uncollected

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? Uncollected

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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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: 01/09/2007

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