Form CAPSA 2013 Public CAPSA 2013 Public CAPSA Questionnaire - Public

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

Attachment A_CAPSA Questionnaire - Public 05-06-13

Census of Adult Supervising Agencies (CAPSA) Pilot Test

OMB: 1121-0339

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FORM CAPSA-2013

OMB No. 1121-0339

Approval expires 01/31/2016

Census of Adult Probation
Supervising Agencies (CAPSA)
U.S. Department of Justice
Bureau of Justice Statistics
and acting as data collection agent,
Westat

PURPOSE OF CENSUS
The Census of Adult Probation Supervising Agencies (CAPSA) is designed to identify and
enumerate adult probation supervising agencies in the United States and obtain information about
their organizational structures, authority, functions and populations supervised. Most questions
asked in the census focus on the agency’s practices; only a few questions ask for numerical
information, specifically aggregate counts of probationers and supervision officers.
INSTRUCTIONS
This census focuses on adult probation. However, there are some questions that reference other
populations your agency may supervise. As you answer each question, please consider only adult
probation, unless instructed otherwise.


Probation is defined as a disposition or sentence for either a felony or misdemeanor that (1) is
imposed by a criminal court and (2) places the adjudicated person under the control, supervision and
care of a correctional agency. The probation conditions form a contract with the court by which the
person must abide in order to remain in the community, generally in lieu of incarceration. Often,
probation entails monitoring or surveillance by a correctional agency, but in some instances,
probation may not involve any reporting requirements.



Adult probationers are defined as persons who are subject to the authority of an adult criminal court
or correctional agency. Persons under the age of 18 who were prosecuted as adults in a criminal
court are considered adults for the purpose of this census.

Please read all definitions and questions carefully. These definitions were developed for the purpose of
this census; as such, definitions and question wording are standardized for this national census and may
not match your agency’s definitions and practices. Because CAPSA is a national data collection, we ask
all agencies to use these standardized definitions.
As part of this special pilot test, we hope to determine the how much time is associated with
responding to the census. At the end of the questionnaire, you will be asked to report how much time
you (or your staff) spent, including time for reviewing instructions, searching existing data sources,
gathering the data needed, and completing and reviewing your responses. Please monitor the time spent
as you prepare and provide your responses.
Please complete this questionnaire online by August 15, 2013. If you have questions, please
contact the CAPSA Agency Support Team at 1-888-329-8124 or by email at [email protected].
If you prefer to provide the information by telephone or email, please contact the CAPSA Agency
Support Team at 1-888-329-8124 or by email at [email protected].
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. Public reporting burden for this collection is estimated to
average 50 minutes per response, including the time for reviewing instructions, searching existing data
sources, gathering the data needed, and completing and reviewing the collection of information. Send
comments regarding this burden estimate or any aspect of this collection of information, including
suggestions for reducing this burden, to the Director, Bureau of Justice Statistics, 810 Seventh Street,
NW, Washington, DC 20531; and to the Office of Management and Budget, OMB No. 1121-0064,
Washington, DC 20503.

OMB No. 1121-0339

Approval expires 01/31/2016
2

GLOSSARY
The terms below are defined in the questionnaire the first time they appear, and are indicated with a ►.
Definitions and question wording are standardized for this national census and may not match your
agency’s definitions and practices. Because CAPSA is a national data collection, we ask all agencies to
use these standardized definitions. There is a comment field at the end of the survey; please describe
any instances where you were unable to apply the census definition when answering a question. The
comment field can also be used to provide any other general or specific comments about this
questionnaire.

Key Definitions
Probation
A disposition or sentence for either a felony or misdemeanor that (1) is imposed by a criminal court
and (2) places the adjudicated person under the control, supervision and care of a correctional
agency. The probation conditions form a contract with the court by which the person must abide in
order to remain in the community, generally in lieu of incarceration. Often, probation entails
monitoring or surveillance by a correctional agency, but in some instances, probation may not
involve any reporting requirements
Adult probationers
Persons who are subject to the authority of an adult criminal court or correctional agency. Persons
under the age of 18 who were prosecuted as adults in a criminal court are considered adults for the
purpose of this census.

Other Definitions
Administrative functions of probation
Record storage and maintenance, budget preparation, personnel management or similar clerical
or management activities.
Authority
The ability to make decisions about adult probation.
Correctional residential facilities
Community-based facilities operated for correctional purposes. Residents may be allowed
extensive contact with the community, such as for employment, work, or attending school, but are
obligated to occupy the premises at night. Examples include, but are not limited to, halfway
houses, restitution centers, detention centers, and prerelease or work release centers.
Electronic monitoring
Supervision conducted through electronic devices or systems to monitor or track probationers’
locations, activities, or behaviors. Examples can include, but are not limited to, radio frequency
monitoring, Global Position System (GPS) monitoring, and alcohol monitoring.
Electronic supervision
Supervision conducted through automated or electronic means, such as interactive voice
recognition (IVR) or reporting kiosks for routine reporting. It does not include telephone, email, or
text reporting.
Face-to-face supervision
Supervision conducted through in-person visits such as office or field visits.

3

Fees
Money paid by probationers to cover the cost of operations which include, but are not limited to,
supervision fees, program fees, drug testing fees, pre-sentence investigation (PSI) report fees,
and risk or needs assessment fees.
Fines
Monetary penalties paid by probationers. Fines include but are not limited to day fines, violation
fines, and restitution.
Intensive supervision probation (ISP)
A more rigorous form of supervision than standard probation. It often emphasizes extensive
contact, stringent conditions (e.g., drug testing, curfews, employment, or program engagement),
and close monitoring or surveillance.
Non-reporting probation
Supervision that never required the probationer, during any period of the probation term, to report
to a court or correctional authority on a regular basis either in person, by telephone or mail, or by
electronic means.
Operational responsibility
The responsibility for implementing decisions.
Reporting functions of probation
Data collection and reporting activities, for example the preparation of monthly or annual reports.
Staffing
The hiring, terminating, re-assigning, or promoting of staff.
Subsidiary probation office
A field, district, satellite or other similar type of office operated by a central office. While a
subsidiary office may actually manage/supervise adult probationers, the central office has
authority over adult probation.
Supervision officers
Full- and part-time staff who supervise adult probationers, regardless of their position or the
amount of time they spend conducting supervision activities. Some agencies may refer to these
staff as officers, agents, or caseworkers.
Supervisory functions of probation
Officer supervision of adult probationers either through face-to-face visits, mail, phone, or
electronic means.

4

Agency name: NAME, ADDRESS
Throughout this questionnaire, the term “your agency” will be used to identify NAME, ADDRESS.
Please think of this agency when responding to the questions, regardless of whether your agency is
associated with a larger agency or department in any way. Also, please consider only adult probation,
unless instructed otherwise in specific questions, even if your agency supervises other correctional
populations.

SECTION A. Contact Information
1. Please provide the contact information for the person completing this questionnaire.
Contact Name:
Title:
Agency Name:
Address:

Phone:

Extension:

Email:

SECTION B. Organizational Structure
2. In which branch of government is NAME located?
1

Executive branch

2

Judicial branch

3

Other (Please describe)

3. Which of the following best describes NAME’S level of government?
1

Federal

2

State

3

Local

4

Other (Please describe)

5

4. Is NAME a subsidiary probation office that is operated by a central office?

► Subsidiary probation office is a field, district, satellite or other similar type of office operated by a
central office. While a subsidiary office may actually manage/supervise adult probationers, the
central office has authority over adult probation.
1

Yes

2

No → SKIP TO QUESTION 6.

5. What is the name and address of the central office that your subsidiary office is a part of?
Name ______________________
Address ________________________
SKIP TO QUESTION 31.

6. Does NAME perform any of the following functions of adult probation?
a. Administrative functions, such as record storage and maintenance,
budget preparation, personnel management or similar clerical or
management activities.
b. Reporting functions, such as data collection and reporting activities, for
example the preparation of monthly or annual reports.
c.

Supervisory functions, where your staff (e.g., officers, agents,
caseworkers) supervise adult probationers either through face-to-face
visits, mail, phone, or electronic means.

d. Other functions

Yes

No

1

2

1

2

1

2

1

2

d1. Please describe the other functions performed by your agency.
____________________________
IF 6a, 6b, 6c, AND 6d = NO, SKIP TO QUESTION 31.

7. On June 30, 2013, did your agency supervise adults on non-reporting probation?
► Non-reporting probation means that the probationer was never required, during any period of their
probation term, to report to a court or correctional authority on a regular basis either in person, by
telephone or mail, or by electronic means.
1

Yes

2

No → SKIP TO SECTION C.

6

8. On June 30, 2013, did your agency’s total adult probation population consist only of probationers on
non-reporting probation?
1

Yes

2

No

SECTION C. Authority and Operational Responsibility
As you continue with this questionnaire, please remember to think of NAME when asked about “your
agency,” regardless of whether your agency is associated with a larger agency or department in any way.
Also, please consider only adult probation, unless instructed otherwise in specific questions, even if your
agency supervises other correctional populations.
The next few questions ask about authority and operational responsibility.
► Authority refers to the ability to make decisions about adult probation.
► Operational responsibility refers to the responsibility for implementing those decisions.

9. Who has authority to set the budget for your agency?
► Providing recommendations about the amount of your agency’s budget is not considered setting
your agency’s budget.

Yes

No

1

2

b1. Please name/describe_____________

1

2

Your agency

1

2

1

2

a. Legislature
b. Higher level agency

c.

d. Other
d1. Please name/describe ____________________________

7

10. Once your agency’s budget has been set, who is responsible for operations spending by your
agency?

Yes

No

1

2

b1. Please name/describe_____________

1

2

Your agency

1

2

1

2

1

2

a. Legislature
b. Higher level agency

c.

d. Lower level agency
d1. Please name/describe_____________
e. Other
e1. Please name/describe ____________________________

11 Who has authority to set the number of full-time equivalent (FTE) or part-time equivalent (PTE)
positions for your agency?
► Providing recommendations about the number of FTE or PTE positions for your agency is not
considered setting the number of positions.

Yes

No

1

2

b1. Please name/describe_____________

1

2

Your agency

1

2

1

2

a. Legislature
b. Higher level agency

c.

d. Other
d1. Please name/describe ____________________________

12. Once the numbers of FTE and PTE positions are set, who is responsible for staffing at your agency?
► Staffing is defined as at least one of the following: hiring, terminating, re-assigning, or promoting
of staff.

Yes

No

1

2

b1. Please name/describe_____________

1

2

Your agency

1

2

1

2

1

2

a. Legislature
b. Higher level agency

c.

d. Lower level agency
d1. Please name/describe_____________
e. Other
e1. Please name/describe ____________________________

8

The next questions ask about establishing and implementing policies or procedures for adult probation
such as levels of supervision, use of risk assessments, or the type and frequency of contact. Sometimes
policies and procedures are set to meet adult probation standards which may be established by your
agency or a higher-level agency or court system. However, establishing probation standards is not
considered setting policies or procedures for the purposes of this census.
13. Who has the authority to establish policies or procedures for the supervision of adult probationers in
your agency?

Yes

No

1

2

b1. Please name/describe_____________

1

2

Your agency

1

2

1

2

a. Legislature
b. Higher level agency

c.

d. Other
d1. Please name/describe ____________________________

14. Who is responsible for implementing the policies or procedures for the supervision of adult
probationers at your agency?

Yes

No

1

2

b1. Please name/describe_____________

1

2

Your agency

1

2

1

2

1

2

a. Legislature
b. Higher level agency

c.

d. Lower level agency
d1. Please name/describe_____________
e. Other
e1. Please name/describe ____________________________

9

15. From July 1, 2012 to June 30, 2013, did your agency use funding from any of the following sources
for adult probation?

Yes

No

a. Federal grant

1

2

b. Federal sources other than federal grants

1

2

c.

1

2

d. State sources other than state grants (include any regular allocation)

1

2

e. County sources (include any regular allocation)

1

2

f.

1

2

g. Court costs paid by adult probationers

1

2

h. Fines paid by adult probationers

1

2

i.

Fees paid by adult probationers

1

2

j.

Any other sources

1

2

State grant

City or municipal sources (include any regular allocation)

j1. Please identify the other sources: ____________________________

16. Does your agency collect fines from any adult probationers either directly or through a collection
agent?
► Fines are monetary penalties paid by probationers. Fines include but are not limited to day fines,
violation fines, and restitution.
1

No fines are collected

2

Collected directly by agency

3

Collected through a collection agent

4

Collected both directly and through a collection agent

10

17. Does your agency collect fees from any adult probationers either directly or through a collection
agent?
► Fees are paid by probationers to cover the cost of operations and include, but are not limited to,
supervision fees, program fees, drug testing fees, pre-sentence investigation (PSI) report fees,
and risk or needs assessment fees.
1

No fees are collected

2

Collected directly by agency

3

Collected through a collection agent

4

Collected both directly and through a collection agent

IF 6c = NO, SKIP TO QUESTION 31.

SECTION D. Functions of Supervision
The next questions ask about supervision activities that may be conducted directly by your agency or
through a third party such as a private company, non-profit organization, or different government agency.
When answering, please think about who performs the activity, regardless of who owns any equipment
that might be used to perform the activity.
As you continue, please remember to think of NAME when asked about “your agency,” regardless of
whether your agency is associated with a larger agency or department in any way. Also, please consider
only adult probation, unless instructed otherwise in specific questions, even if your agency supervises
other correctional populations.
18. Does your agency use the following methods to conduct supervision of any adult probationers, either
directly or through a third party?
Yes

No

a. Mail

1

2

b. Phone

1

2

c.

1

2

1

2

Text

d. Email

11

19. Does your agency conduct face-to-face supervision of any adult probationers, either directly or
through a third party?
► Face-to-face supervision is conducted through in-person visits such as office or field visits.
1

No face-to-face supervision is done

2

Done directly by agency

3

Done through a third party

4

Done both directly and through a third party

20. Does your agency conduct intensive supervision (ISP) of any adult probationers, either directly or
through a third party?
► ISP is a more rigorous form of supervision than standard probation. It often emphasizes extensive
contact, stringent conditions (e.g., drug testing, curfews, employment, or program engagement),
and close monitoring or surveillance.
1

No ISP is done

2

Done directly by agency

3

Done through a third party

4

Done both directly and through a third party

21. Does your agency use electronic supervision for routine reporting of any adult probationers, either
directly or through a third party?
► Electronic supervision uses automated or electronic means, such as interactive voice recognition
(IVR) or reporting kiosks for routine reporting. It does not include telephone, email, or text
reporting.
1

No electronic supervision is done

2

Done directly by agency

3

Done through a third party

4

Done both directly and through a third party

12

22. Does your agency use electronic monitoring for the supervision of any adult probationers, either
directly or through a third party?
► Electronic monitoring uses electronic devices or systems to monitor or track probationers’
locations, activities, or behaviors. Examples can include, but are not limited to, radio frequency
monitoring, Global Position System (GPS) monitoring, and alcohol monitoring.
1

No electronic monitoring is done

2

Done directly by agency

3

Done through a third party

4

Done both directly and through a third party

23. Which of the following are used by your agency to determine level, type, or conditions of supervision
for any adult probationers?
Yes

No

a. Standardized risk or needs assessment (such as the LSI-R or COMPAS)

1

2

b. Agency-developed risk or needs assessment

1

2

c.

1

2

1

2

Staff (e.g., officer, agent, caseworker) judgment of risks and needs

d. Other
d1. Specify: ____________________________

24. Does your agency provide specialized services or programs for sex offenders on adult probation,
either directly or through a third party?
1

No specialized services or programs for sex offenders on adult probation are provided

2

Done directly by agency

3

Done through a third party

4

Done both directly and through a third party

25. Does your agency provide specialized services or programs for mentally ill offenders on adult
probation, either directly or through a third party?
1

No specialized services or programs for mentally ill offenders on adult probation are provided

2

Done directly by agency

3

Done through a third party

4

Done both directly and through a third party

13

The next questions ask about your agency’s role in setting terms and conditions of supervision.
As you continue, please remember to think of NAME when asked about “your agency,” regardless of
whether your agency is associated with a larger agency or department in any way. Also, please consider
only adult probation, unless instructed otherwise in specific questions, even if your agency supervises
other correctional populations.

26. Can your agency impose standard or special conditions of probation for any type of adult
probationers? Imposing conditions includes amending or removing conditions as well as adding new
conditions.
Yes

No

a. Impose standard conditions

1

2

b. Impose special conditions

1

2

27. Can your agency grant an early positive discharge to any type of adult probationer prior to the
scheduled expiration of their sentence without appearing before a judge or court? This type of
discharge may be granted in response to the satisfaction of conditions, earned time credits, or in
accordance with agency policy.
1

Yes

2

No

28. Can your agency extend the period of probation supervision for any type of adult probationer without
appearing before a judge or court?
Yes
a. Agency can extend a period of supervision beyond the court imposed sentence

1

No
2

b. Agency can only extend a period of supervision if a probationer has not yet satisfied the terms of
their court imposed sentence (e.g., a sentence of one year on probation and completion of drug
1
2
treatment and drug treatment has not yet been completed)

29. Can your agency impose a period of incarceration on any type of adult probationer without appearing
before a judge or court? Incarceration may be imposed in response to a violation of conditions or a
revocation and may vary in duration.
1

Yes

2

No

14

The next questions ask about your agency’s use of correctional residential facilities.
► Correctional residential facilities are community-based facilities operated for correctional
purposes. Residents may be allowed extensive contact with the community, such as for
employment, work, or attending school, but are obligated to occupy the premises at night.
Examples include, but are not limited to, halfway houses, restitution centers, detention centers,
and prerelease or work release centers.

30. Does your agency use correctional residential facilities to confine or provide services to any adult
probationers?
1

Yes

2

No

31. (Excluding any correctional residential facilities that your agency uses), are you aware of any
correctional residential facilities used to confine or provide services to adult probationers in your
state?
1

Yes

2

No

ROUTING #1.
IF 30 = NO AND 31 = NO, SKIP TO ROUTING #3.
IF 30 = BLANK AND 31 = NO, SKIP TO ROUTING #3.
ELSE, CONTINUE WITH QUESTION 32.

32. Who operates correctional residential facilities in your state?
Yes

No

a. Federal agency

1

2

b. State agency

1

2

c.

1

2

d. Joint state and local agencies

1

2

e. Private agency

1

2

Local agency

15

33. We would like to know the name and, if possible, county in which each correctional residential facility
is located in your state. Please indicate if you would prefer to provide this information by email, fax,
or if you would like to enter the information at this time. If sending information by email or fax, please
be sure to include your login ID number.
1

Email → SEND THE INFORMATION TO [email protected]

2

Fax→ FAX THE INFORMATION TO THE CAPSA SURVEY DESK AT XXX-XXX-XXXX

3

Enter information now

4

I cannot provide this information

ROUTING #2.
IF 33 = ENTER INFORMATION NOW, CONTINUE WITH QUESTION 34.
ELSE, SKIP TO ROUTING #3.

34. Please provide the name and county in which each correctional residential facility is located.

Name of correctional residential facility
County

Name of correctional residential facility
County

ROUTING #3.
IF 6a, 6b, 6c, AND 6d = NO, SKIP TO QUESTION 49.
IF 4 = NO, SKIP TO QUESTION 49.
IF 6c = NO, SKIP TO QUESTION 49.
ELSE, CONTINUE WITH SECTION E.

16

SECTION E. Supervision Officers

The next questions ask about supervision officers in your agency.
► Supervision officers are full- and part-time staff who supervise adult probationers, regardless of
their position or the amount of time they spend conducting supervision activities. Some agencies
may refer to these staff as officers, agents, or caseworkers.

35. Are none, some or all of the supervision officers in your agency authorized to carry firearms?
1

None → SKIP TO QUESTION 37.

2

Some

3

All

36. How many of the supervision officers who carry firearms are required to do so?
1

None

2

Some

3

All

37. Do none, some or all of your supervision officers have the authority to arrest adult probationers
supervised by your agency?
1

None

2

Some

3

All

38. On June 30, 2013, how many full- and part-time supervision officers worked in your agency?
__________ Officers

39. Is this an exact count or an estimate?
1

Exact count

2

Estimate

17

SECTION F. Populations Supervised
The next questions ask about populations that may be supervised by your agency. As you answer these
questions, please remember to think about supervision done by NAME, ADDRESS.

40. On June 30, 2013, what type(s) of populations did your agency supervise?
► Some persons under your agency’s supervision may have multiple sentences or correctional
statuses, and may be supervised by your agency and another correctional agency. When
answering this question, only report the types of populations that your agency is responsible for
supervising.

a.

Adults on pretrial status awaiting trial

b.

Adults whose criminal proceedings have been suspended prior to
adjudication or conviction and pending completion of a period of
supervision in the community

Yes

No

1

2

1

2

c.

Adults on probation for a misdemeanor

1

2

d.

Adults on probation for a felony

1

2

e.

Adults on parole or other type of post-custody conditional release

1

2

f.

Juveniles

1

2

g.

Other populations

1

2

g1. Please describe the other populations: ____________________________

ROUTING #4.
IF 40c = NO AND 40d = NO, SKIP TO QUESTION 49.
ELSE, CONTINUE.

The next questions ask for aggregate counts of populations supervised by your agency.
41. On June 30, 2013, what was the total number of individuals supervised by your agency? Please
include all populations represented in your answer to the previous question. To review the previous
question, press the BACK button.
__________ Total population
IF ZERO, SKIP TO QUESTION 48.

18

As you answer the following questions, please remember to think about supervision done by NAME,
ADDRESS. Also, focus only on adult probation supervision even if your agency supervises other
populations.
► Adult probationers are persons who are subject to the authority of an adult criminal court or
correctional agency. Persons under the age of 18 who were prosecuted as adults in a criminal court
are considered adults for the purpose of this census.
•

Include all adult probationers regardless of their supervision or reporting status.

•

Include absconders who have not been officially removed from your agency’s caseload.

•

Include adult probationers legally your agency’s responsibility but supervised by another agency,
such as through a “courtesy supervision: or an interstate compact agreement.

•

Include adult probationers legally your agency’s responsibility but supervised by private
companies.

42. On June 30, 2013, what was the total number of adult probationers supervised by your agency?
__________ Probationers

IF ZERO, SKIP TO QUESTION 48.
IF 40c = NO, SKIP TO QUESTION 44.

43. How many of those adult probationers had a misdemeanor as their most serious offense?
__________ Probationers

IF 40d = NO, SKIP TO QUESTION 45.

44. How many of those adult probationers had a felony as their most serious offense?
__________ Probationers

45. Does the information you provided about the numbers of probationers represent individuals or cases?
MARK ALL THAT APPLY.
1

Individuals

2

Cases

19

46. Does the information you provided about the numbers of probationers represent exact counts or
estimates? MARK ALL THAT APPLY.
1

Exact counts

2

Estimates

47. Does your agency ever use private companies to supervise any adult probationers?
1

Yes

2

No → SKIP TO QUESTION 49.

48. Of those adult felony and/or misdemeanant probationers that your agency reported supervising on
June 30, 2013, how many were supervised by a private company?
__________ Probationers

49. (Excluding any private company that your agency uses), are you aware of any private companies
that are responsible for any function of adult felony or misdemeanant probation in your state?
1

Yes

2

No

ROUTING #5.
IF 47 = NO AND 49 = NO, SKIP TO SECTION G.
IF 47 = BLANK AND 49 = NO, SKIP TO SECTION G.
ELSE, CONTINUE WITH QUESTION 50.

50. We would like to know the name and, if possible, county in which a private company is responsible for
any function of adult felony or misdemeanant probation in your state. Please indicate if you would
prefer to provide this information by email, fax, or if you would like to enter the information at this time.
If sending information by email or fax, please be sure to include your login ID number.
1

Email → SEND THE INFORMATION TO [email protected]

2

Fax→ FAX THE INFORMATION TO THE CAPSA SURVEY DESK AT XXX-XXX-XXXX

3

Enter information now

4

I cannot provide this information

20

ROUTING #6.
IF 50 = ENTER INFORMATION NOW, CONTINUE WITH QUESTION 51.
ELSE, SKIP TO SECTION G.

51. Please provide the name and county (or counties) in which each private company operates in your
state.

Name of private company
County/Counties

Name of private company
County/Counties

SECTION G. Other Probation Agencies
52. CAPSA is designed to identify and enumerate adult probation supervising agencies in the United
States. Please review this list of agencies responsible for adult probation supervision throughout your
state.
Not counting any agency that you might have already reported on this survey, are you aware of any
other agencies responsible for any administrative, reporting, or supervisory functions of adult
probation in your state that is missing from the list?
1

Yes

2

No

ROUTING #7.
IF 52 = NO, SKIP TO SECTION H.
ELSE, CONTINUE WITH QUESTION 53.

21

53. We would like to know the name and, if possible, county in which any missing agency is located.
Please indicate if you would prefer to provide this information by email, fax, or if you would like to
enter the information at this time. If sending information by email or fax, please be sure to include
your login ID number.
1

Email → SEND THE INFORMATION TO [email protected]

2

Fax→ FAX THE INFORMATION TO THE CAPSA SURVEY DESK AT XXX-XXX-XXXX

3

Enter information now

4

I cannot provide this information

ROUTING #8.
IF 53 = ENTER INFORMATION NOW, CONTINUE WITH QUESTION 54.
ELSE, SKIP TO SECTION H.

54. Please provide the name and county in which each agency is located.

Name of agency
County

Name of agency
County

SECTION H. Comments
55. Definitions and questions are standardized for this national census and may not match your agency’s
definitions and practices. Please describe any instances where you were unable to apply the census
definition when answering a question.
_______________________________________________________________________
_______________________________________________________________________

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56. Please provide any general comments about the census or other comments that would be important
to interpreting your responses.
_______________________________________________________________________
_______________________________________________________________________

57. How long did it take you to respond to this census? Please include time for reviewing instructions,
searching existing data sources, gathering the data needed, and completing and reviewing your
responses.
___________ minutes
Thank you for participating in the Census of Adult Probation Supervising Agencies. You indicated that you
will share information about <> <> <>
<> via email or fax. Please remember to send the information to Westat at
[email protected] or XXX-XXX-XXXX and be sure to include your agency’s login ID number.

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Thank you letter will be sent upon submission of each survey and if appropriate, remind agencies
to submit information by email (or fax):
Dear <> <>,
Thank you for participating in the Census of Adult Probation Supervising Agencies. Your survey indicates
that you will share information about <> <>
<> <> via email or fax. Please send the information to
[email protected] or XXX-XXX-XXXX at your earliest convenience and be sure to include your
agency’s ID number: XXXX.
Our analysts will review your survey, and we will be in touch if we have any questions. If you ever need to
make updates to your responses or have any questions about the census, please contact us at 1-888329-8124 or by email at [email protected]. Thank you for your support of this data collection.

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File Typeapplication/pdf
AuthorHeather Tubman-Carbone
File Modified2013-05-23
File Created2013-05-23

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