Information Collection

Former Prisoner Survey

IC 181595 under ICR 200708-1121-001 · OMB 1121-0316.

Documents and Forms

Documents and forms in this information collection
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

IC Title:

Agency IC Tracking Number:

BJS

Is this a Common Form? No

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	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

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 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	16,700	16,700
Annual IC Time Burden (Hours)	11,858	11,858
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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.