Information Collection

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

IC 206543 under ICR 201503-1121-001 · 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⚠️ Notice: This information collection may be referencing outdated material.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: Unchanged

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
	Requested	Previously Approved
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.