Information Collection

Annual Survey of Jails

IC 12385 under ICR 201004-1121-001 · OMB 1121-0094.

Documents and Forms

Documents and forms in this information collection
Document NameDocument Type
Form CJ-5D
Annual Survey of Jails CJ-5D Annual Survey of Jails
Form and Instruction
Form CJ-5
Annual Survey of Jails CJ-5 Annual Survey of Jails
Form and Instruction
Form CJ-5A
Annual Survey of Jails CJ-5A Annual Survey of Jails
Form and Instruction
Form CJ-5DA
Annual Survey of Jails CJ-5DA Annual Survey of Jails
Form and Instruction
Form CJ-5B
Survey of Jails in Indian Country CJ-5B Annual Survey of Jails
Form and Instruction
Form CJ-5B ADDENDUM
Survey of Jails in Indian Country CJ-5B ADDENDUM Annual Survey of Jails
Form and Instruction
CJ-5 Annual Survey of Jails CJ-5
cj-5.pdf

harvester.census.gov/asj/
Form and Instruction
CJ-5A Annual Survey of Jails CJ-5A
cj-5A.pdf

harvester.census.gov/asj/
Form and Instruction
CJ-5D Annual Survey of Jails CJ-5D
cj-5D.pdf

harvester.census.gov/asj/
Form and Instruction
CJ-5DA Annual Survey of Jails CJ-5DA
cj-5DA.pdf

harvester.census.gov/asj/
Form and Instruction
CJ-5B Survey of Jails in Indian Country CJ-5B
cj-5B.pdf

harvester.census.gov/asj/
Form and Instruction
CJ-5B ADDENDUM Survey of Jails in Indian Country CJ-5B ADDENDUM
cj-5Badd.pdf
Form and Instruction
A12_ASJ-Instructions for Paperless Fax Image Retrieval System (PFIRS).pdf
Instructions for Paperless Fax Image Retrieval System
IC Document
A13_ASJ-Sample Paperless Fax Image Retrieval System (PFIRS).pdf
Sample Paperless Fax Image Retrieval System
IC Document
A11_ASJ-Sample cover letter announcing data collection .pdf
Cover Letter Announcing Data Collection
IC Document
A14_ASJ-Nonresponse follow-up instructions.pdf
Nonresponse Follow-Up Instructions
IC Document
A16_SJIC-Sample pre-notification cover letter.pdf
Sample Pre-Notification SJIC Cover Letter
IC Document
A17_SJIC-Sample nonresponse fax follow-up_revised.pdf
A17 SJIC- Sample nonresponse fax follow-up Revised
IC Document
A15_SJIC-Sample cover letter announcing data collection_revised.pdf
A15-SJIC-Sample Cover Letter Announcing Data Collection Revised
IC Document

Information Collection (IC) Details

View Information Collection (IC)

layout table

Information Collection Instruments:
table that charts list of instruments
Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction CJ-5 http://harvester.census.gov/asj/ Yes Yes Fillable Fileable
Form and Instruction CJ-5A http://harvester.census.gov/asj/ Yes Yes Fillable Fileable
Form and Instruction CJ-5D http://harvester.census.gov/asj/ Yes Yes Fillable Fileable
Form and Instruction CJ-5DA http://harvester.census.gov/asj/ Yes Yes Fillable Fileable
Form and Instruction CJ-5B http://harvester.census.gov/asj/ Yes Yes Fillable Fileable
Form and Instruction CJ-5B ADDENDUM Yes Yes Fillable Fileable

Federal Enterprise Architecture Business Reference Module


table that charts list of burden
  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 1,104 0 91 0 0 1,013
Annual IC Time Burden (Hours) 1,596 0 381 0 0 1,215
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Documents for IC
table that charts IC Documents
Title Document Date Uploaded
Instructions for Paperless Fax Image Retrieval System 04/15/2010
Sample Paperless Fax Image Retrieval System 04/15/2010
Cover Letter Announcing Data Collection 04/15/2010
Nonresponse Follow-Up Instructions 04/15/2010
Sample Pre-Notification SJIC Cover Letter 04/15/2010
A17 SJIC- Sample nonresponse fax follow-up Revised 06/09/2010
A15-SJIC-Sample Cover Letter Announcing Data Collection Revised 06/09/2010
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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