OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Deaths in Custody -- series of collections from local jails, State prisons and juvenile detention centers, and law enforcement

IC 12562 under ICR 201209-1121-005 · OMB 1121-0249.

Documents and Forms
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Information Collection (IC) Details

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Deaths in Custody -- series of collections from local jails, State prisons and juvenile detention centers, and law enforcement
 
No Removed
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form NPS-4 Quarterly Summary of Inmate Deaths in State Prision NPS-4 2009-final_2.pdf Yes Yes Fillable Fileable
Form NPS-4A Annual State Prision Inmate Death Report NPS-4A 2009-final_2.pdf Yes Yes Fillable Fileable
Form CJ-9 Quarterly Report on Inmates under Jail Jurisdiction CJ-9 2009-final_2.pdf Yes Yes Fillable Fileable
Form CJ-9A Annual Summary on Inmates under Jail Jurisdiction CJ-9a 2009-final_2.pdf Yes Yes Fillable Fileable
Form CJ-10 Quarterly Report on Inmates in Private and Multi-Jurisdiction Jails CJ-10 2009-final_2.pdf Yes Yes Fillable Fileable
Form CJ-10A Annual Summary on Inmates in Private and Multi-Jurisdiction Jails CJ-10a 2009-final_2.pdf Yes Yes Fillable Fileable
Form CJ-11 Quarterly Summary of Deaths in Law Enforcement Custody CJ-11 2009 final_2.pdf Yes Yes Fillable Printable
Form CJ-11A Arrested Related Death Report cj11a 101410.pdf Yes Yes Fillable Fileable

General Government Executive Functions

 

3,102 0
   
State, Local, and Tribal Governments
 
   66 %

  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 0 0 0 -19,308 0 19,308
Annual IC Time Burden (Hours) 0 0 0 -4,634 0 4,634
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Local Jails CJ-9-instructions-2009 (2).doc 10/20/2009
State and Local Law Enforcement CJ-11-2009-instructions (2).doc 10/20/2009
State Prison NPS-4A-instructions (3).doc 10/20/2009
State and Local Law Enforcement Addendum CJ-11A-2009-instructions.doc 10/20/2009
Medical Causes of Death in State Prison, 2001-2004 mcdsp04.pdf 10/21/2009
DCRP Data Tables DCRP-online data tables-10-21-09.pdf 10/21/2009
Introduction letter DCRP-OMB-Attatch E-letter.docx 10/22/2009
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.