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Annual Jail Collection Surveys (ASJ, DCRP, SJIC)
Annual Survey of Jails, Survey of Jails in Indian Country, Death in Custody Reporting Program (Jails)
OMB: 1121-0094
IC ID: 219043
OMB.report
DOJ/OJP
OMB 1121-0094
ICR 201511-1121-002
IC 219043
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1121-0094 can be found here:
2023-05-25 - Extension without change of a currently approved collection
2020-04-17 - Reinstatement with change of a previously approved collection
Documents and Forms
Document Name
Document Type
Form CJ-5b
Annual Jail Collection Surveys (ASJ, DCRP, SJIC)
Form and Instruction
CJ-5b Annual Survey of Jails in Indian Country
cj-5b_15.pdf
Form and Instruction
CJ-9 Death Report on Inmates under Jail Jurisdiction
2016 CJ-9 Form_2015-10-09.pdf
Form and Instruction
CJ-9A Annual Summary on Inmates under Jail Jurisdiction (short
2015CJ-9A_short_2015-08-03.pdf
Form and Instruction
CJ-9A/5 Annual Summary on Inmates under Jail Jurisdiction (long
2015CJ-9A-5_long_2015-08-03.pdf
Form and Instruction
CJ-10 Death Report on Inmates in Private and Multi-Jurisdictio
2016 CJ-10 Form_2015-10-09.pdf
Form and Instruction
CJ-10A Annual Summary on Inmates in Private and Multi-Jurisdict
2015CJ-10A_short_2015-08-03.pdf
Form and Instruction
CJ-10A/5 Annual Summary on Inmates in Private and Multi-Jursdicti
2015CJ-10A-5_long_2015-08-03.pdf
Form and Instruction
Appendix C Attachments A-M.pdf
Appendices for IC
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Annual Jail Collection Surveys (ASJ, DCRP, SJIC)
Agency IC Tracking Number:
BJS
Is this a Common Form?
No
IC Status:
New
Obligation to Respond:
Voluntary
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form and Instruction
CJ-5b
Annual Survey of Jails in Indian Country
cj-5b_15.pdf
No
Paper Only
Form and Instruction
CJ-9
Death Report on Inmates under Jail Jurisdiction
2016 CJ-9 Form_2015-10-09.pdf
Yes
Yes
Fillable Fileable
Form and Instruction
CJ-9A
Annual Summary on Inmates under Jail Jurisdiction (short form)
2015CJ-9A_short_2015-08-03.pdf
Yes
Yes
Fillable Fileable
Form and Instruction
CJ-9A/5
Annual Summary on Inmates under Jail Jurisdiction (long form)
2015CJ-9A-5_long_2015-08-03.pdf
Yes
Yes
Fillable Fileable
Form and Instruction
CJ-10
Death Report on Inmates in Private and Multi-Jurisdictional Jails
2016 CJ-10 Form_2015-10-09.pdf
Yes
Yes
Fillable Fileable
Form and Instruction
CJ-10A
Annual Summary on Inmates in Private and Multi-Jurisdictional Jails (short form)
2015CJ-10A_short_2015-08-03.pdf
Yes
Yes
Fillable Fileable
Form and Instruction
CJ-10A/5
Annual Summary on Inmates in Private and Multi-Jursdictional Jails (long form)
2015CJ-10A-5_long_2015-08-03.pdf
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Correctional Activities
Subfunction:
Criminal Incarceration
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
3,080
Number of Respondents for Small Entity:
0
Affected Public:
State, Local, and Tribal Governments
Percentage of Respondents Reporting Electronically:
95 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
3,080
0
3,080
0
0
0
Annual IC Time Burden (Hours)
2,711
0
2,711
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Appendices for IC
Appendix C Attachments A-M.pdf
11/20/2015
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.