Census of Adult Supervising Agencies (CAPSA) Pilot Test

Generic Clearance for Cognitive, Pilot and Field Studies for Bureau of Justice Statistics Data Collection Activities

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Document Name Document Type
Form CAPSA 2013 Public Census of Adult Supervising Agencies (CAPSA) Pilot Test Form and Instruction
CAPSA 2013 Public CAPSA Questionnaire - Public Attachment A_CAPSA Questionnaire - Public 05-06-13.pdf Form and Instruction
CAPSA 2013 Private CAPSA Questionaire -- Private Attachment B CAPSA Questionnaire - Private_revised 6-24-13.pdf Form and Instruction
Attachment C_all other CAPSA materials_05-10-13.pdf Attachments to CAPSA Pilot Test IC Document
OMB Memo CAPSA Pilot Test_revised 6-24-13.docx CAPSA Pilot Memo IC Document

Information Collection (IC) Details

IC Title:	Census of Adult Supervising Agencies (CAPSA) Pilot Test	Agency IC Tracking Number:	BJS

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	CAPSA 2013 Public	CAPSA Questionnaire - Public	Attachment A_CAPSA Questionnaire - Public 05-06-13.pdf		Yes	Yes	Fillable Fileable
Form and Instruction	CAPSA 2013 Private	CAPSA Questionaire -- Private	Attachment B CAPSA Questionnaire - Private_revised 6-24-13.pdf		No		Paper Only

Line of Business: Correctional Activities

Subfunction: Criminal Rehabilitation

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 60	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 80 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	60	60
Annual IC Time Burden (Hours)	67	67
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Attachments to CAPSA Pilot Test	Attachment C_all other CAPSA materials_05-10-13.pdf	05/23/2013
CAPSA Pilot Memo	OMB Memo CAPSA Pilot Test_revised 6-24-13.docx	06/24/2013

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