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Former Prisoner Survey
Former Prisoner Survey
OMB: 1121-0316
IC ID: 181595
OMB.report
DOJ/OJP
OMB 1121-0316
ICR 200708-1121-001
IC 181595
( )
Documents and Forms
Document Name
Document Type
Form FPS-1
Former Prisoner Survey
Form
FPS-1 Former Prison Survey Records form
AttachD FPS-1 Records Form.doc
Form
FPS-2 Former Prison Survey Roster Verification Form
AttachG FPS-2 Verification Form.doc
Form
FPS-C Former Prisoner Survey Consent
AttachE FPS-1 Records Form1-revised-11 2 2007.doc
Form and Instruction
FPS Former Prisoner Survey
AttachC FPS Instrument.Revised.10.26.2007.doc
Form
Public Law 108-79.pdf
Authorizing PL
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Former Prisoner Survey
Agency IC Tracking Number:
BJS
Is this a Common Form?
No
IC Status:
New
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
FPS-1
Former Prison Survey Records form
AttachD FPS-1 Records Form.doc
Yes
No
Fillable Printable
Form
FPS-2
Former Prison Survey Roster Verification Form
AttachG FPS-2 Verification Form.doc
Yes
No
Fillable Printable
Form
FPS
Former Prisoner Survey
AttachC FPS Instrument.Revised.10.26.2007.doc
Yes
No
Fillable Printable
Form and Instruction
FPS-C
Former Prisoner Survey Consent
AttachE FPS-1 Records Form1-revised-11 2 2007.doc
Yes
No
Fillable Printable
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:
16,700
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
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
16,700
0
16,700
0
0
0
Annual IC Time Burden (Hours)
11,858
0
11,858
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Authorizing PL
Public Law 108-79.pdf
08/10/2007
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.