CJ-9A/CJ-10A 2013 Annual Summary on Inmates Under Jail Jurisdiction

Deaths in Custody Reporting Program -- state prison collection

Appendix_C_2013 CJ-9A_10A

Deaths in Custody Reporting Program

OMB: 1121-0249

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OMB No. 1121-0249 Approval Expires 12/31/XXXX
U.S. DEPARTMENT OF JUSTICE
BUREAU OF JUSTICE STATISTICS
AND ACTING AS COLLECTION AGENT:

DEATHS IN CUSTODY—2013
ANNUAL SUMMARY ON INMATES
UNDER JAIL JURISDICTION

Form CJ-9A/10A

RTI INTERNATIONAL

FORM COMPLETED BY:
Name

Title

Official
Address

Telephone

City

FAX

State

Zip

E-mail

PLEASE COMPLETE A SEPARATE ANNUAL SUMMARY FORM FOR EACH FACILITY IN YOUR JURISDICTION THAT HAS A
SEPARATE ADMINISTRATOR, A SEPARATE STAFF, AND A SEPARATE BUDGET.
Please provide:
Facility Name
Facility Address
Facility City

State

Zip

Instructions for completion and submission
FOR EACH ITEM:
 If the answer to a question is “none” or “zero,” write “0” in the space provided.
 When exact numeric answers are not available, provide estimates and mark ( X ) in the checkbox beside each figure that is
estimated. For example 1,234 

Please submit your completed form(s) within 30 days of receipt. You may submit information in one of these ways:
ONLINE: Complete this form online at: https://bjsdcrp.rti.org
E-MAIL: [email protected]
FAX (TOLL-FREE): 1-866-800-9179

MAIL: RTI International, Attn: Data Capture
Project Number: 0213149.001.200.207.400
5265 Capital Boulevard
Raleigh, NC 27690-1652

If you need assistance, contact Kim Aspinwall of RTI International toll-free at 1-800-344-1387 or [email protected].

What facilities are eligible to complete an Annual Summary Form?
ELIGIBLE…
 Confinement facilities usually administered by a local or regional law enforcement agency, intended for adults but sometimes holding
juveniles.
 All jails and city/county correctional centers that hold inmates beyond arraignment. Report data on all inmates, including those held in
separate holding or lockup areas within the facility.
 Special jail facilities operated under the authority of local or regional correctional authorities, such as medical/treatment/release centers,
halfway houses, and work farms.
 Private facilities operated under contract to local, regional, or federal correctional authorities.
 Facilities that hold inmates for other jurisdictions, including federal authorities, state prison authorities, and other local jail jurisdictions.
INELIGIBLE…
 Facilities that are exclusively used as temporary holding or lockup facilities, where inmates are generally held for less than 72 hours and
not held beyond arraignment.

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 hour and 20 minutes per facility, 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. Do not send your completed form to this address.

Section I — INMATE DEATHS
1.

Section II — SUPERVISED POPULATION

 
2.

Between January 1, 2013, and December 31, 2013, how
many persons died while under the supervision of this
facility?

On December 31, 2013, how many persons under the
supervision of this facility were –
a. CONFINED in this facility?

INCLUDE deaths of ALL persons:
 CONFINED in this facility
 UNDER THE SUPERVISION of this facility, but out to
court or in a special facility not under the jurisdiction of
a local or regional correctional authority (e.g., hospital,
hospice, or nursing home; treatment facility; residential
community center; residential work release or house
arrest program; release center)
 WHILE IN TRANSIT to or from this facility while under
its supervision

INCLUDE:
 Persons on transfer to treatment facilities but who
remain under the jurisdiction of this facility
 Persons held for other jurisdictions
 Persons in community-based programs (e.g., work
release, day release, drug/alcohol treatment) who
return to jail at night
 Persons out to court while under the jurisdiction of
this facility

EXCLUDE:
X Deaths of persons in the process of arrest by your
agency if they have not yet been booked into this
facility. Arrest-related deaths should be reported using a
CJ-11A form.

EXCLUDE:
X Persons under the jurisdiction of this facility who are
boarded elsewhere
X Inmates on AWOL, escape, or long-term transfer to
other facilities or jurisdictions

Number of inmate deaths
a. Males ...............................................................

b.

Under jail supervision, but NOT CONFINED?
INCLUDE:
 Persons in community-based programs run by this
facility (e.g., electronic monitoring, house arrest,
community service, day reporting, and work
programs)

b. Females ..........................................................
REMINDER: IF THIS FACILITY HAD ONE OR MORE
DEATHS IN CALENDAR YEAR 2013: Please ensure that
you have completed a 2013 CJ-9/CJ-10 (individual death
report) form for each death reported. If you need additional
CJ-9/CJ-10 forms, please go to the DCRP Web site
(https://bjsdcrp.rti.org), call 1-800-344-1387, or send an
e-mail to [email protected].

EXCLUDE:
X Persons on pretrial release who are not in a
community-based program run by this facility
X Persons under the supervision of probation, parole,
or other agencies
X Inmates on weekend programs—weekend programs
allow offenders to serve their sentences of
confinement only on weekends (e.g., Friday–
Sunday)
X Inmates participating in work release programs who
return to the facility at night

c.
3.

TOTAL (Sum of items 2a and 2b) ..............

On the weekend prior to December 31, 2013, did this
facility have a weekend program?
Weekend programs allow offenders to serve their sentences
of confinement only on weekends (e.g., Friday–Sunday).

4.

1

Yes – How many inmates
participated? .........................

2

No

Of all the persons CONFINED in this facility (as reported
in item 2a), how many were not U.S. citizens?
Non-U.S. citizens

When exact numeric answers are not available, provide
estimates and mark ( X ) in the checkbox beside each figure
that is estimated. For example 1,234 
Page 2

Section III — INMATE COUNTS AND MOVEMENTS OF
THE CONFINED POPULATION
5.

6.

9.

On December 31, 2013, how many persons CONFINED in
this facility were –
11
a. Adult males (age 18 or older) .....................

a. White, not of Hispanic origin ........................
b. Black or African American,
not of Hispanic origin ....................................

b. Adult females (age 18 or older) ..................
c. Males under age 18 ....................................

c. Hispanic or Latino ......................................
d. American Indian/Alaska Native,
not of Hispanic origin ....................................

d. Females under age 18 ...............................
e. TOTAL (Sum of items 5a through
5d should equal item 2a) .............................

e. Asian, not of Hispanic origin ........................
f. Native Hawaiian or Other Pacific
Islander, not of Hispanic origin ...................

Of all the persons under the age of 18 CONFINED in this
facility on December 31, 2013 (sum of 5c and 5d), how
many were tried, or awaiting trial, in adult court?

g. Two or more races, not of Hispanic origin ..
h. Additional categories in your
information system – Specify 	

Number of persons under
age 18 held as adults ...............................
7.

On December 31, 2013, how many persons CONFINED in
this facility were –

i. Not known ...................................................
j. TOTAL (Sum of items 9a to 9i
should equal item 2a) ..................................

Of all persons CONFINED in this facility on
December 31, 2013, how many were –


For persons with more than one status, report the status
associated with the most serious offense.



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

a. Convicted ..................................................
Of these, how many were –
1. Unsentenced inmates or
awaiting sentencing..........................

10. On December 31, 2013, how many persons CONFINED in
this facility were held for –
For persons with multiple holds, count them only once with
priority being federal, state, tribal, and local.
INCLUDE contractual, temporary, courtesy, or ad hoc
holds for other agencies
a. Federal authorities


1. U.S. Marshals Service ....................

2. Sentenced inmates ...........................

2. Federal Bureau of Prisons ............
3. U.S. Immigration and Customs
Enforcement (ICE)..........................

b. Unconvicted ...............................................
Of these, how many were –
1. Awaiting trial/arraignment ................

4. Bureau of Indian Affairs (BIA) .......
X EXCLUDE inmates being housed for tribal
governments in item 10c, below
5. Other – Specify

2. Awaiting transfer/hold for
other authorities ...............................
3. Other ..................................................
c. TOTAL (Sum of items 7a and 7b
should equal item 2a) .................................

b. State prison authorities
1. For your state .................................

8.

On December 31, 2013, how many persons CONFINED in
this facility, regardless of conviction status, had an
offense type of –

2. For other states ..............................
c. American Indian/Alaska Native Tribal governments
X EXCLUDE inmates being housed for the BIA in
item 10a4

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

d. Other local jail jurisdictions
X EXCLUDE inmates being housed for your own
jurisdiction (i.e., your own county/city inmates)
X EXCLUDE inmates being housed for tribal
governments in item 10c

b. Misdemeanor .............................................
c. Other – Specify
d. TOTAL (Sum of items 8a to 8c
should equal item 2a) .................................

1. Within your state ............................

When exact numeric answers are not available, provide
estimates and mark ( X ) in the checkbox beside each figure
that is estimated. For example 1,234 

2. Outside your state .........................
e. TOTAL (Sum of items 10a to 10d) ...............
Page 3

11. a. During the 31-DAY period from December 1 to
December 31, 2013, on what day did this facility hold
the greatest number of inmates?

14. Between January 1, 2013, and December 31, 2013, how
many persons were –
a. New admissions to this facility?

Peak population should be equal to or greater than the
confined inmate population reported in item 2a.
December

, 2013

b. How many persons were CONFINED on that day?
Number that day

EXCLUDE:
X Returns from escape, work release, medical
appointments/treatment facilities, furloughs,
bail/bond releases, and court appearances

12. Between January 1, 2013, and December 31, 2013, what
was the average daily population of this facility?


Include inmates who participated in weekend programs
that allow offenders to serve their sentences of
confinement only on weekends (e.g., Friday–Sunday).



To calculate the average daily population, add the
number of persons for each day during the period
January 1, 2013, through December 31, 2013, and
divide the result by 365.





INCLUDE:
 Persons officially booked into and housed in this
facility by formal legal document and by the authority
of the courts or some other official agency
 Repeat offenders booked on new charges
 Those persons serving a weekend sentence coming
into the facility for the first time

New admissions
1. Males ....................................................
2. Females ................................................
3. TOTAL (Sum of items 14a1 and 14a2)

If daily counts are not available, estimate the average
daily population by adding the number of persons held
on the same day of each month and divide the result by
12.

b. Final discharges from this facility?
INCLUDE:
 All persons released after a period of confinement
(e.g., sentence completion, bail/bond releases, other
pretrial releases, transfers to other jurisdictions, and
deaths)
 Those persons completing their weekend sentence
leaving the facility for the last time

If average daily population cannot be calculated as
directed above, then estimate the typical number of
persons held in this facility each day.
Average daily population
a. Males....................................................

EXCLUDE:
X Temporary discharges (e.g., work releases, medical
appointments/treatment, to courts, furloughs, day
reporters, and transfers to other facilities within your
jurisdiction)

b. Females ...............................................
c. TOTAL (Sum of items 12a and 12b) ....

Final discharges
13. On December 31, 2013, what was the total rated capacity
of this facility, excluding separate temporary holding
areas?


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



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

1. Males ....................................................
2. Females ................................................
3. TOTAL (Sum of items 14b1 and 14b2)

Rated capacity

When exact numeric answers are not available, provide
estimates and mark ( X ) in the checkbox beside each figure
that is estimated. For example 1,234 
Page 4

Section IV — POPULATION SUPERVISED IN THE
COMMUNITY

17. On December 31, 2013, how many staff employed in this
facility were –
Count each employee only once. Classify employees with
multiple functions by the function performed most frequently.
 INCLUDE only payroll and non-payroll staff

If item 2b equals 0 (zero), SKIP to item 16.
15. On December 31, 2013, how many persons under the
supervision of this facility who were NOT CONFINED
participated in –
X

X

EXCLUDE inmates on weekend programs

EXCLUDE staff paid through contractual agreements
and community volunteers

a. Correctional officers
(Deputies, monitors, and other custody
staff who spend more than 50% of their
time with the incarcerated population) .........

a. Electronic monitoring ................................
b. Home detention without
electronic monitoring ................................

Of these, how many were –

c. Community service ....................................
d. Day reporting .............................................

1. Males .................................................

e. Other pretrial supervision .........................

2. Females ..............................................

f. Other alternative work programs .............
X EXCLUDE inmates participating in
work release programs who return to
the facility at night

b. All other staff
(Administrators, clerical and maintenance
staff, educational staff, professional and
technical staff, and other staff unspecified) .
Of these, how many were –

g. Alcohol/drug treatment programs ............
X EXCLUDE inmates participating in
alcohol/drug treatment programs
who are confined in the facility

1. Males ..................................................
2. Females ..............................................

h. Other programs outside of
jail facilities – Specify

c. TOTAL (Sum of items 17a and 17b) ............
18. Of all correctional officers reported in item 17a, how
many were –

i. TOTAL (Sum of items 15a to 15h
should equal item 2b) ..................................

a. White, not of Hispanic origin ........................
b. Black or African American,
not of Hispanic origin ....................................

Section V — COST OF INCARCERATION AND STAFF

c. Hispanic or Latino ......................................
16. Between January 1, 2013, and December 31, 2013, what
were the operating expenditures for this facility?

d. American Indian/Alaska Native,
not of Hispanic origin ....................................

INCLUDE:
 Total salaries and wages, including employer
contributions to employee benefits
 Other operating expenditures, such as the purchase of
food, supplies, medical expenses, and utilities
EXCLUDE:
X Capital expenditures such as total construction costs
for new buildings, major repairs, and improvements;
equipment, furnishings, vehicles, and installations; and
purchase of land, rights-of-way, and title searches
Total operating expenditures

e. Asian, not of Hispanic origin ........................
f. Native Hawaiian or Other Pacific
Islander, not of Hispanic origin ....................
g. Two or more races, not of Hispanic
origin ...........................................................
h. Additional categories in your
information system – Specify 	

i. Not known ...................................................
j. TOTAL (Sum of items 18a to 18i should
equal item 17a).............................................

When exact numeric answers are not available, provide
estimates and mark ( X ) in the checkbox beside each figure
that is estimated. For example 1,234 
Page 5


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