National Inmate Survey, 2010

National Inmate Survey (NIS)

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1121-0311 can be found here:

Documents and Forms

Document Name Document Type
Form D National Inmate Survey, 2010 Form
PAPI National Inmate Survey Natl Inmate Survey_PAPI_M12_v3.pdf Form and Instruction
NIS-FQ-1 NIS Facility Questionnaire FacilitySurvey1.pdf Form and Instruction
NIS - Pilot National Inmate Survey: Year 3 Pilot Draft Year 3 NIS.doc Form and Instruction
D NIS PAPI D_NIS_PAPI_MArrive[1].pdf Form
NIS PAPI M NIS PAPI M D_NIS_PAPI_M12[1].pdf Form
NIS PAPA Arrive NIS PAPI Arrive D_NIS_PAPI_FArrive[1].pdf Form
NIS PAPI F12 NIS PAPI F12 D_NIS_PAPI_F12[1].pdf Form
No Number A NIS Questionnaire Revised_A_NISQuestionnaire (2).doc Form
No Number National Inmate Survey Year 3 Alt Revised_B_NIS_AltQuestionniare (2).doc Form
ItemChangesPREA.doc Item Changes IC Document
G_ACASI_Juvenile_Consent_Card[1].doc Juvenile Consent Card IC Document
E_ACASI_Consent_Form[1].doc ACASI Consent Form IC Document
F_ACASI_Consent_Card[1].doc ACASI Concent Card IC Document
C_NIS_PAPIConsent[1].doc NIC PAPI Consent IC Document
H_MCVerification[1].doc Mental Verification IC Document

Information Collection (IC) Details

IC Title:	National Inmate Survey, 2010	Agency IC Tracking Number:	BJS

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
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 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 and Instruction	PAPI	National Inmate Survey	Natl Inmate Survey_PAPI_M12_v3.pdf	No		Printable Only
Form	No Number	National Inmate Survey Year 3 Alt	Revised_B_NIS_AltQuestionniare (2).doc	Yes	Yes	Fillable Fileable
Form	No Number	A NIS Questionnaire	Revised_A_NISQuestionnaire (2).doc	Yes	Yes	Fillable Fileable

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 Agency Discretion
Annual Number of Responses for this IC	105,500	105,500
Annual IC Time Burden (Hours)	63,681	63,681
Annual IC Cost Burden (Dollars)	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.