Information Collection

Cognitive Testing for the National Inmate Survey (NIS-4)

IC 229750 under ICR 201512-1121-004 · 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⚠️ Notice: This information collection may be referencing outdated material.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
Cognitive Testing for the National Inmate Survey (NIS-4)	Form and Instruction
National Inmate Survey (NIS-4) Cognitive Testing Protoco Attachment 5 - NIS-4 Cog Testing Protocol_V2.pdf	Form and Instruction
Final NIS-4 OMB Cognitive Memo 011618.docx Memo to OMB on Cog Test for NIS-4	IC Document
NIS-4 OMB Cognitive Test Attachments.pdf Attachments for NIS-4 Cognitive Testing	IC Document

IC Title:

Cognitive Testing for the National Inmate Survey (NIS-4)

Agency IC Tracking Number:

BJS

IC Status: New

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	N/A	National Inmate Survey (NIS-4) Cognitive Testing Protocol	Attachment 5 - NIS-4 Cog Testing Protocol_V2.pdf		No		Printable Only

Line of Business: Correctional Activities

Subfunction: Criminal Incarceration

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 50

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	50	50
Annual IC Time Burden (Hours)	81	81
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Memo to OMB on Cog Test for NIS-4	Final NIS-4 OMB Cognitive Memo 011618.docx	01/16/2018
Attachments for NIS-4 Cognitive Testing	NIS-4 OMB Cognitive Test Attachments.pdf	01/16/2018

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