Information Collection

Facility Survey

IC 207583 under ICR 201306-1121-004 · OMB 1121-0344.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1121-0344 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Facility Survey	Form
officer Safety in Correctional Facilities--Facility Surv Attachment 1_Facility Survey.doc	Form

IC Title:

Facility Survey

Agency IC Tracking Number:

NIJ

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	none	officer Safety in Correctional Facilities--Facility Survey	Attachment 1_Facility Survey.doc		Yes	No	Fillable Printable

Line of Business: Correctional Activities

Subfunction: Criminal Incarceration

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 153

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 33 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	153	153
Annual IC Time Burden (Hours)	77	77
Annual IC Cost Burden (Dollars)	8,963	8,963

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.