Information Collection

Pilot Study of Survey of Prison Inmates under the Survey of Prison Inmates: Design and Testing Project

IC 206543 under ICR 201211-1121-005 · OMB 1121-0339.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1121-0339 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Pilot Study of Survey of Prison Inmates under the Survey of Prison Inmates: Design and Testing Project	Form
SPI Pilot Study Questionnaire Attachment A_SPI Pilot Study Questionnaire_revised 5_15_13.pdf	Form
Attachment B_SPI pilot study initial contact letter_commissioners.docx Initial Contact Letter to Commissioners	IC Document
Attachment C_SPI pilot study initial contact letter_facilities.docx Initial Contact Letter to Facilities	IC Document
Attachment D_SPI pilot study thank you letter_commissioners.docx Thank you Letter to Comissioners	IC Document
Attachment E_SPI pilot study thank you letter_facilities.docx Thank you Letter to Facilities	IC Document
Attachment G_Informed Consent Form - Earnings from SSA.docx Informed Consent for SSA Earnings information	IC Document
Attachment H_Training Agenda-SPI Pilot Study.docx SPI Training Agenda	IC Document
Attachment I_FI_TOC_SPI Pilot Study.docx Field Interview Training Manual	IC Document
SPI OMB Pilot Study Memo_revised 5-15-13.docx SPI Pilot Study Memorandum to OMB	IC Document
Attachment F_SPI Pilot Study Consent for Interview_revised final.pdf SPI Piloy Study Consent Form	IC Document
SPI questionnaire changes and justification of changes_5-15-13.docx Qs and As with OMB on SPI Pilot Study	IC Document
Attachment G_SPI Cognitive Interviewing Reports - final.pdf SPI Pilot Study cognitive interviewing report	IC Document

IC Title:

Pilot Study of Survey of Prison Inmates under the Survey of Prison Inmates: Design and Testing Project

Agency IC Tracking Number:

BJS

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	N/A	SPI Pilot Study Questionnaire	Attachment A_SPI Pilot Study Questionnaire_revised 5_15_13.pdf		Yes	No	Fillable Fileable

Line of Business: Correctional Activities

Subfunction: Criminal Incarceration

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 486

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	486	486
Annual IC Time Burden (Hours)	658	658
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Initial Contact Letter to Commissioners	Attachment B_SPI pilot study initial contact letter_commissioners.docx	04/17/2013
Initial Contact Letter to Facilities	Attachment C_SPI pilot study initial contact letter_facilities.docx	04/17/2013
Thank you Letter to Comissioners	Attachment D_SPI pilot study thank you letter_commissioners.docx	04/17/2013
Thank you Letter to Facilities	Attachment E_SPI pilot study thank you letter_facilities.docx	04/17/2013
Informed Consent for SSA Earnings information	Attachment G_Informed Consent Form - Earnings from SSA.docx	04/17/2013
SPI Training Agenda	Attachment H_Training Agenda-SPI Pilot Study.docx	04/17/2013
Field Interview Training Manual	Attachment I_FI_TOC_SPI Pilot Study.docx	04/17/2013
SPI Pilot Study Memorandum to OMB	SPI OMB Pilot Study Memo_revised 5-15-13.docx	05/15/2013
SPI Piloy Study Consent Form	Attachment F_SPI Pilot Study Consent for Interview_revised final.pdf	05/15/2013
Qs and As with OMB on SPI Pilot Study	SPI questionnaire changes and justification of changes_5-15-13.docx	05/15/2013
SPI Pilot Study cognitive interviewing report	Attachment G_SPI Cognitive Interviewing Reports - final.pdf	05/15/2013

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