CJ-9A Annual Summary on Inmates under Jail Jurisdiction

OMB No. 1121-0249 Approval Expires 12/31/2012

FORM CJ-9A
(10-5-2009)

U.S. DEPARTMENT OF JUSTICE

DEATHS IN CUSTODY — 2009

BUREAU OF JUSTICE STATISTICS
AND ACTING AS COLLECTION AGENT

ANNUAL SUMMARY ON INMATES
UNDER JAIL JURISDICTION

RTI International

Crime, Violence, and Justice
Research Program

DATA SUPPLIED BY
TITLE

NAME
OFFICIAL
ADDRESS
TELEPHONE

Number and street or P.O. box/Route number

City

Area Code

FAX
NUMBER

Number

State
Area Code

ZIP Code

Number

E-MAIL
ADDRESS

DRAFT
(Please correct any error in name, mailing address, and ZIP Code)

GENERAL INFORMATION
• If you need assistance, call Chris Ellis of RTI toll-free at 1–800–###–####,
or e-mail [email protected]
• Please return your completed questionnaire by March 31, 2010. Return all pages by either MAIL or FAX.
FAX (TOLL FREE): 1–888–891–2099.
MAIL TO: RTI International, 3040 Cornwallis Road, P.O. Box 12194, Research Triangle Park, NC 27709-2194

What facilities are included in this data collection?
Confinement facilities usually administered by a local law enforcement agency, intended for adults but sometimes
holding juveniles.
• INCLUDE all jails and city/county correctional centers that hold inmates beyond arraignment. Report data on ALL
inmates, including those held in separate holding or lockup areas within your facility.
• INCLUDE special jail facilities (e.g., medical/treatment/release centers, halfway houses, and work farms).
• EXCLUDE facilities that are exclusively used as temporary holding or lockup facilities from which inmates are
usually transferred within 72 hours and not held beyond arraignment.
• EXCLUDE privately-operated jails and facilities operated by two or more jurisdictions, i.e., multi-jurisdictional
facilities. (These jails will be contacted directly for data on deaths in their custody.)
• EXCLUDE deaths of persons in the process of arrest by your agency if they have not yet been booked into your jail
facility. Arrest-related deaths should be reported using a CJ-11A form. Please contact BJS staff for assistance
at 202-307-0765 or “[email protected]”.

Burden Statement
Under the Paperwork Reduction Act, we cannot ask you to respond to a collection of information unless it displays a
currently valid OMB control number. The burden of this collection is estimated to average 5 minutes per response
for jurisdictions reporting zero deaths and 30 minutes per each reported death, including reviewing instructions,
searching existing data sources, gathering necessary data, and completing and reviewing this form. Send comments
regarding this burden estimate or any aspect of this survey, including suggestions for reducing this burden, to the
Director, Bureau of Justice Statistics, 810 Seventh Street, NW, Washington, DC 20531. Do not send your completed
form to this address.

DRAFT

INMATE COUNTS AND DEATHS
1.

How many persons under the supervision of your
jail jurisdiction were –

2.

a. CONFINED in your jail facilities on December 31, 2009?
• INCLUDE persons on transfer to treatment facilities
but who remain under your jurisdiction.
• INCLUDE persons out to court while under your
jurisdiction.
• INCLUDE persons held for other jurisdictions.
• EXCLUDE persons housed in facilities operated
by two or more jurisdictions or those held in
privately operated jails.
• EXCLUDE inmates on AWOL, escape, or long-term
transfer to other jurisdictions.
• EXCLUDE all persons in non-residential
community-based programs run by your jails
(e.g., electronic monitoring, house arrest,
community service, day reporting, work programs).
• When exact numeric answers are not
available, provide estimates and mark (⌧)
in the box beside each figure.
Male
Female
Inmates on
December 31, 2009

Between January 1, 2009, and December 31, 2009,
what was the average daily population of all jail
confinement facilities operated by your
jurisdiction?
• To calculate the average daily population, add the
number of persons for each day during the period
January 1, 2009 through December 31, 2009, and
divide the result by 365.
• If daily counts are not available, estimate the
average daily population by adding the number of
persons held on the same day of each month and
divide the result by 12.
• If average daily population cannot be calculated as
directed above, then estimate the typical number of
persons held in your jail confinement facilities each
day.
• When exact numeric answers are not available,
provide estimates and mark (⌧) in the box beside
each figure.
Male

Female

Average daily population

b. ADMITTED to your jail facilities during 2009?
3.

• INCLUDE new admissions only, i.e., persons
officially booked into and housed in your facilities
by formal legal document and by the authority of the
courts or some other official agency.

Between January 1, 2009, and December 31, 2009,
how many persons died while under the
supervision of your jail jurisdiction?
• INCLUDE deaths of ALL persons –

• INCLUDE repeat offenders booked on new charges.
• EXCLUDE returns from escape, work release, medical
appointments/treatment facilities, bail and court
appearances.

CONFINED in your jail facilities; or
UNDER YOUR JURISDICTION but out to court or in
special facilities (e.g. hospitals, halfway houses, work
arms, and medical/treatment/release centers); or

• If annual admission figures are not available, please
provide a monthly or weekly admission count and
check the appropriate box.
New admissions
during 2009

Male

WHILE IN-TRANSIT to or from your facilities while under
your jurisdiction.
Male
Female

Female

Number of inmate deaths
Annual
Monthly
Weekly

Annual
Monthly
Weekly

INSTRUCTIONS
• IF NO DEATHS ARE REPORTED in item 3, return the completed form to RTI International.
• IF A FORM CJ-9 "DEATHS IN CUSTODY, 2009–QUARTERLY REPORT ON INMATES UNDER
JAIL JURISDICTION" HAS ALREADY BEEN SUBMITTED for each death reported in item 3,
then return this completed FORM CJ-9A to RTI International.
• IF A FORM CJ-9 HAS NOT BEEN SUBMITTED for any of the deaths reported in item 3, please
complete and return a FORM CJ-9 for each of these deaths with your completed FORM CJ-9A.
An additional FORM CJ-9 for 2009 has been included with this questionnaire. If a FORM CJ-9 has not been
submitted for more than 1 death reported in item 3 above, make copies of page 2 and 3 of the enclosed FORM CJ-9
for each additional death.
FORM CJ-9A (10-5-2009)

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