Previous Data Collection Instrument (CJ-5B)

CJ-5B
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OMB No.1121-0094: Approval Expires 6/30/2013

Karla Eisen
Survey of Jails in Indian Country
RA1100
Westat
1650 Research Boulevard
Rockville, MD 20850

CJ-5B

FORM
(06-25-12)

U.S. DEPARTMENT OF JUSTICE

2012 ANNUAL
SURVEY OF JAILS
IN INDIAN COUNTRY

BUREAU OF JUSTICE STATISTICS
AND ACTING AS COLLECTION AGENT

WESTAT

DATA SUPPLIED BY

NAME

Title

ADDRESS

Number and street or P.O. box/Route

City

TELEPHONE

Area Code

Area Code Number
FAX
NUMBER

Number

State Zip Code

E-MAIL
ADDRESS
PLEASE CORRECT ANY ERROR IN NAME, MAILING ADDRESS, AND ZIP CODE.

•

GENERAL INFORMATION
If you have any questions about completing this form, please contact Karla Eisen of Westat at 1-888-675-7330
or BJS Statistician, Todd Minton at 202-305-9630.

•

Please mail your completed questionnaire to Westat before August 1, 2012 or FAX (all) pages to 301-315-5912.

•

Please retain a copy of the completed form for your records.

Who does this survey cover?
All confinement facilities, including detention centers, jails, and other correctional facilities operated by tribal
authorities or the Bureau of Indian Affairs.

•

INCLUDE special jail facilities (e.g., medical/treatment/release centers, halfway houses, and work farms).

All persons under your jail supervision.

•

INCLUDE all confined adults and juveniles (i.e., persons under age 18).

•

INCLUDE persons on transfer to treatment facilities but who remain under your legal jurisdiction.

•

INCLUDE persons held for other jurisdictions.

What data are to be excluded from this survey?

•
•

EXCLUDE inmates on AWOL, escape, or long-term transfer to other jurisdictions.
EXCLUDE any persons housed in a correctional facility not operated by your jurisdiction.

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 1 1/4 hours
per response, 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.

FORM CJ-5B (06-25-12)

INSTRUCTIONS

•

If the answer to a question is "not available" or "unknown," write "DK" in the space provided.

•

If the answer to a question is "not applicable," write "NA" in the space provided.

•

If the answer to a question is "none" or "zero," write "0" in the space provided.

•

When exact numeric answers are not available, provide estimates and mark (x) in the
box beside each figure that is estimated. For example 1,234 (‡)

SECTION I ⎯ INMATE COUNTS AND MOVEMENTS

5. On June 29, 2012, how many persons CONFINED
in this facility, regardless of conviction status,
had an offense type of —

1. On June 29, 2012, how many persons were
CONFINED in this facility?

•

INCLUDE persons on transfer to treatment
facilities but who remain under your jurisdiction.

•
•

INCLUDE persons held for other jurisdictions.

•

a. Felony . . . . . . . . . . . . . . . . . . . . . .
b. Misdemeanor . . . . . . . . . . . . . . . .

EXCLUDE inmates on AWOL escape, or long-term
transfer to other jurisdictions.

Number confined

d. TOTAL (Sum of items 5a to 5c
should equal item 1) . . . . . . . . . . .

G

b. Females age 18 or older . . . . . . .

G

c. Males under age 18 . . . . . . . . . . .

G

d. Females under age 18 . . . . . . . . .

G

e. TOTAL (Sum of items 2a to 2d
should equal item 1) . . . . . . . . . . .

G

For convicted inmates, include probation
and parole violators with no new sentence.

•

•

INCLUDE aggravated and simple
assault.

•

EXCLUDE domestic violence offenses
and rape/sexual assault.

•

•

a. Convicted . . . . . . . . . . . . . . . . . . . .

G

b. Unconvicted . . . . . . . . . . . . . . . . . .

G

c. TOTAL (Sum of items 4a and 4b
should equal item 1) . . . . . . . . . . .

G

Page 2

G

G

EXCLUDE domestic violence offenses
and assaults reported in item 6b.

G

EXCLUDE domestic violence offenses,
assaults, and rape/sexual assault.

e. A drug law violation . . . . . . . . . . .

•

G

INCLUDE assault, abuse, cruelty,
or threat to a spouse, intimate, or
a dependent child.

d. Other violent offenses . . . . . . . . .

4. Of all persons CONFINED in this facility on
June 29, 2012, how many were —

•

a. Domestic violence offense . . . . .

c. Rape/sexual assault . . . . . . . . . .

G

G

6. On June 29, 2012, how many persons CONFINED
in this facility, regardless of conviction status,
had as their most serious offense —

b. Assault . . . . . . . . . . . . . . . . . . . . .

3. Of all male and female juveniles CONFINED in this
facility on June 29, 2012, how many were tried or
awaiting trial in ADULT court?

For persons with more than one status, report
The status with the most serious offense.

G

G

a. Males age 18 or older . . . . . . . . .

•

G
G

c. Other — Specify

2. On June 29, 2012, how many persons CONFINED
in this facility were —

Number of juveniles (under age 18)
held as adults

For persons with more than one offense, report
the most serious type of offense.

G

INCLUDE offenses relating to the
unlawful possession, distribution,
sale, use, growing, or manufacturing
of narcotic drugs.

f. Driving while intoxicated or
driving under the influence
of alcohol or drugs . . . . . . . . . . .
g. Other offenses . . . . . . . . . . . . . . .

G
G

h. TOTAL (Sum of items 6a to 6g
should equal item 1) . . . . . . . . . . . .

G

FORM CJ-5B (06-25-12)

7. During the 30 day period from June 1, 2012, to
June 30, 2012—

SECTION II ⎯ FACILITY OPERATIONS AND STAFF

a. What was the average daily population of
your facility?

•

10. On June 29, 2012, what was the total rated capacity
of this facility?

To calculate the average daily population, add
the number of persons confined in your facility
for each day during the period June 1-30, 2012,
and divide the results by 30.

b. On what day did this facility hold the greatest
number of persons?
June

Number that day

a. New admissions to this jail facility
INCLUDE persons officially booked into
and housed in your facility by formal
legal document or by the authority of the
courts or some other official agency.

b. Multiple occupied units
originally designed for
single occupancy . . . . . . . .

Inmates

c. Multiple occupied units
designed for multiple
occupancy . . . . . . . . . . . . . .

Inmates

•

INCLUDE hallways, recreation
areas, storage rooms, and
other common spaces . . . . . .

INCLUDE tents, trailers, and
other temporary space . . . . .

g. Other — Specify

G
G

G

Inmates

G
Inmates

G

Inmates

G
Inmates

G

h. Total (Sum of items 11a to
11g should equal item 1)

G
Inmates

12. On June 29, 2012, was this facility under a Tribal,
State, or Federal COURT ORDER or CONSENT
DECREE —

a. How many persons died while CONFINED
in this facility?
Enter 0 if no deaths.

G

b. Of those who died, how many committed suicide?

Number of completed suicides

Inmates

f. Other temporary space

9. Between July 1, 2011, and June 30, 2012 —

Number of deaths

G

a. Single occupied cells
or rooms . . . . . . . . . . . . . . .

e. Separate holding areas or
other temporary detention
units . . . . . . . . . . . . . . . . . . .

EXCLUDE temporary discharges (e.g., work
releases, medical appointments/treatment facilities,
to courts, furloughs, day reporters, and transfers to
other facilities within your jurisdiction).

Final discharges

G

Rated capacity

G

INCLUDE all persons released after a period of
confinement (e.g., sentence completion, bail/bond,
other pretrial release, transfers to other jurisdictions,
and death).

a. To limit the number of persons it can house?
1

G Yes — What is the maximum number of

2

G No

persons this facility is allowed to
house?

G

c. How many persons ATTEMPTED suicide while
CONFINED in this facility?
Number of attempted suicides

If rated capacity is not available, estimate by
using the design capacity and mark the box.

•

b. Final discharges from this jail facility?

•

•

d. Areas not originally designed
for confinement

EXCLUDE returns from escape, work
release, medical appointments/treatment
facilities, bail and court appearances.

New admissions

•

Rated capacity is the maximum number of beds
or inmates assigned by a rating official to this
facility.

11. On June 29, 2012, how many inmates were held in —

G

8. During the 30 day period from June 1, 2012, to
June 30, 2012, how many persons were —

•

•

, 2012

c. How many persons were CONFINED on that day?

•

EXCLUDE temporary spaces such as tents,
trailers, and other temporary space.

G

Average daily population

•

•

b. For conditions of confinement?

G

Page 3

1

G Yes — Specify

2

G No

G

FORM CJ-5B (06-25-12)

13. On June 29, 2012, how many male and female
CORRECTIONAL STAFF employed by this
facility were —

•
•

15. Of the total number of JAIL OPERATION employees
reported in item 14b, how many had received —
a. The basic detention officer
certification?

INCLUDE full-time and part-time staff.

•

EXCLUDE community volunteers and
unpaid interns.

a. Payroll staff

•

Male

INCLUDE tribal and BIA
direct funded staff
(e.g., 638 contract
and self-governance) . .

Female

b. 40 hours of in-service
training?

G

G

b. Nonpayroll staff employed by other
tribal/governmental agencies

•

INCLUDE staff provided by
IHS, education, or other
human service departments
or courts . . . . . . . . . . .

INCLUDE staff paid through
private service contracts
(e.g., food service, health
care, maintenance,
transportation) . . . . . . .

d. Total staff (Sum of items
13a to 13c) . . . . . . . . . . .

•
•

INCLUDE full-time and part-time payroll staff.
EXCLUDE nonpayroll staff.

a. How many JAIL OPERATION employees did
you HIRE for employment in this facility?

G

G

•

G

G

G

G

b. Jail operations

•

Number of vacancies

NOTES

INCLUDE correctional officers, guards,
and other staff who spend more than
50% of their time supervising inmates.

c. Educational staff
INCLUDE academic and
vocational staff.

G

d. Technical/professional staff

•

INCLUDE counselors, psychiatrists,
psychologists, social workers,
dentists, medical staff, and other
professional staff.

•

INCLUDE dispatchers with no
inmate supervision duties.

e. Clerical, maintenance, and
food service

G
G

f. Other – Specify

G
g. TOTAL (Sum of items 14a to
14f should equal item 13d)

INCLUDE quits, layoffs, discharges,
retirements, deaths, transfers, and
other separations.

G

G
•

•

G

17. On June 29, 2012, how many specific JAIL
OPERATION employees positions were
vacant in this facility?

a. Administration
INCLUDE the jail administrators, or
sheriff, assistants, and other personnel
who work in an administrative capacity
more than 50% of the time.

G

b. How many JAIL OPERATION employees were
separated from employment in this facility?

Number of separations

Count each employee only once.

•

INCLUDE new, rehired, or recalled
from layoff; permanent, short-term,
or seasonal.

Number of hires

14. Of the total number of CORRECTIONAL employees
on June 29, 2012, how many were in —

•

G

16. Between July 1, 2011, and June 30, 2012 —

c. Contract nonpayroll staff

•

G

INCLUDE BIA or State
certification.

G
Page 4

G