CJ-5B Annual Survey of Jails in Indian Country

CJ-5B
RETURN
TO

OMB No.1121-0094: Approval Expires 6/30/2016

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

FORM

CJ-5B

(10-02-12)

U.S. DEPARTMENT OF JUSTICE

2013 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

FAX Number

Number

State
Area Code

Zip Code

Number

E-MAIL
ADDRESS

General information
zz

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.

zz

Please mail your completed questionnaire to Westat before August 1, 2013 or FAX (all) pages to 301-315-5912.

zz

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.
zz

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

All persons under your jail supervision.
zz

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

zz

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

zz

INCLUDE persons held for other jurisdictions.

What data are to be excluded from this survey?
zz

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

zz

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 (10-02-12)

Instructions
zz

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

zz

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

zz

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

zz

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

SECTION I—INMATE COUNTS AND MOVEMENT
 1. On June 28, 2013, how many persons were
CONFINED in this facility?

 5. On June 28, 2013, how many persons CONFINED in
this facility, regardless of conviction status, had as
their most serious offense —

zz

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

zz

INCLUDE persons held for other jurisdictions.

zz

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

a. Domestic violence offense . . . . . . .

Number confined

zz

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

 2. On June 28, 2013, how many persons CONFINED in
this facility were —
a. Males age 18 or older. . . . . . . . . . . .

zz

INCLUDE aggravated and simple assault.

zz

EXCLUDE domestic violence offenses
and rape/sexual assault.

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

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

zz

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

zz

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

zz

zz

Exclude motor-vehicle theft.

g. A drug law violation. . . . . . . . . . . . .
zz

 4. Of all persons CONFINED in this facility on
June 28, 2013, how many were —

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

Also known as breaking and entering.

f. Larceny-theft. . . . . . . . . . . . . . . . . . .

Number of juveniles
(under age 18) held as adults

zz

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

e. Burglary. . . . . . . . . . . . . . . . . . . . . . .

 3. Of all male and female juveniles CONFINED in this
facility on June 28, 2013, 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.

EXCLUDE domestic violence offenses
and assaults reported in item 5b.

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

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

zz

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

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

h. Driving while intoxicated or
driving under the influence
of alcohol or drugs. . . . . . . . . . . . .
i. Public intoxication. . . . . . . . . . . . . . .

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

zz

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

Also known as “drunk and
disorderly.”

j. Other offenses. . . . . . . . . . . . . . . . . .
k. TOTAL (Sum of items 5a to 5j
should equal item 1). . . . . . . . . . . . . .

Page 2

FORM CJ-5B (10-02-12)

 6. On June 28, 2013, how many persons CONFINED in
this facility, regardless of conviction status, had an
offense type of—
zz

 9. Between July 1, 2012, and June 30, 2013—
a. H
 ow many persons died while CONFINED in
this facility?

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

zz

Number of deaths

a. Felony . . . . . . . . . . . . . . . . . . . . . . .

b. O
 f those who died, how many committed suicide?

b. Misdemeanor . . . . . . . . . . . . . . . . .

Number of completed suicides

c. Other—Specify

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

d. TOTAL (Sum of items 6a to 6c
should equal item 1). . . . . . . . . . . . .

SECTION II—FACILITY OPERATIONS AND STAFF
For items 10 and 11, please use the instructions below.

 7. During the 30 day period from June 1, 2013, to
June 30, 2013—
a. What was the average daily population of your
facility?
zz

Enter 0 if no deaths.

To calculate the average daily population, add the number
of persons confined in your facility for each day during the
period June 1-30, 2013, and divide the results by 30.

zz

INCLUDE full-time and part-time staff, payroll staff that are tribal or
BIA direct-funded staff (e.g., 638 contract and self-governance).

zz

INCLUDE nonpayroll staff employed by other tribal/governmental
agencies (staff provided by IHS, education, or other human service
departments or courts).

zz

INCLUDE contract nonpayroll staff paid through private
service contracts (e.g., food service, healthcare, maintenance,
transportation).

zz

Exclude community volunteers and unpaid interns.

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

, 2013

c. How many persons were CONFINED on that day?

 10. Of the total number of CORRECTIONAL employees
on June 28, 2013, how many were in—
zz

Number that day
 8. During the 30 day period from June 1, 2013, to June
30, 2013, how many persons were —

Count each employee only once. Classify employees with
multiple functions by the function performed most frequently.

a. Administration
zz

a. New admissions to this jail facility
zz

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.

zz

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

Include the jail administrators,
assistants and other personnel who
work in an administrative capacity
more than 50% of the time.. . . . . . . . . .

b. Jail operations
zz

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

c. Educational staff

New admissions

zz

b. Final discharges from this jail facility?
zz

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

zz

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

INCLUDE academic and
vocational staff.. . . . . . . . . . . . . . . . . .

d. Technical/professional staff
zz

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

zz

INCLUDE dispatchers with no
inmate supervision duties.. . . . . . . . . . .

e. Clerical, maintenance, and
food service . . . . . . . . . . . . . . . . . .
f. Other—Specify
g. TOTAL (Sum of items 14a
to14f) . . . . . . . . . . . . . . . . . . . . . .

Page 3

FORM CJ-5B (10-02-12)

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

INCLUDE BIA or State certification.

b. 40 hours of in-service training?. . .
 12. On June 28, 2013, what was the total rated capacity
of this facility?
zz

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

zz

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

zz

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

Rated capacity

Notes

Page 4