Information Collection

CJP Presurvey screener

IC 204576 under ICR 201210-1121-002 · OMB 1121-0291.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
CJP Presurvey screener	Form and Instruction
CJP Presurvey screener Attachment G Communications with respondents.pdf	Form and Instruction

IC Title:

Agency IC Tracking Number:

OJJDP

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	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	none	CJP Presurvey screener	Attachment G Communications with respondents.pdf		Yes	No	Printable Only

Line of Business: Correctional Activities

Subfunction: Criminal Rehabilitation

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 1,000

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	1,000	1,000
Annual IC Time Burden (Hours)	250	250
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.