Information Collection

Survey of Prison Inmates, 2016

IC 216583 under ICR 201511-1121-003 · OMB 1121-0152.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form NPS-25 2016 Survey of Prison Inmates (SP) Questionnaire (updated version) Survey of Prison Inmates, 2016	Form and Instruction
NPS-25 2016 Survey of Prison Inmates (SP) Questionnaire (update Attachment C_2016 SPI Questionnaire_Clean_11-18-15 (V2).pdf	Form and Instruction
Attachment A_final.pdf Attachments A1-A20	IC Document
Attachment C_ SPI Key Statistics Table.pdf Attachment C - SPI Key Statistics Table	IC Document
Attachment D - 2013 SPI Pilot Study Training Manual_final.pdf Attachment D - SPI Pilot Study Training Manual	IC Document
Attachment A_passback revised_8-14-2015.doc Attachment A revised	IC Document
Attachment A_IRB Approval Notice of 2016 SPI Changes_Amend 11-16-15.pdf Amended IRB Approval	IC Document
Attachment B_2016 SPI Questionnaire_Track Changes_11-18-15 (V2).pdf 2016 SPI Questionnaire with track changes	IC Document
Attachment D_2016 SPI Show Card Examples.pdf SPI Show Card Examples	IC Document
Attachment E_2016 SPI Consent_ Track Changes_Clean.pdf Revised Consent form (track changes and clean version)	IC Document
Non-substantive Changes to 2016 SPI_final memo.docx OMB Memo for Nonsubstantive Change	IC Document

IC Title:

Agency IC Tracking Number:

BJS

Is this a Common Form? No

IC Status: Modified

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 and Instruction	NPS-25				Yes	Yes	Fillable Fileable

Line of Business: Correctional Activities

Subfunction: Criminal Incarceration

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 66,938

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	66,938	-51	66,989
Annual IC Time Burden (Hours)	50,099	-13	50,112
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Attachments A1-A20		05/13/2015
Attachment C - SPI Key Statistics Table		05/13/2015
Attachment D - SPI Pilot Study Training Manual		05/13/2015
Attachment A revised		08/14/2015
Amended IRB Approval		11/24/2015
2016 SPI Questionnaire with track changes		11/24/2015
SPI Show Card Examples		11/24/2015
Revised Consent form (track changes and clean version)		11/24/2015
OMB Memo for Nonsubstantive Change		11/24/2015

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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