Deaths in Custody Reporting Program -- state prison collection

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form NPS-4 Deaths in Custody - Inmate Deaths in State Prisons	Form and Instruction	Unchanged	Available
DCRPPrisons_nonsubstantive_change_memo_final.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2017-12-07	Available
Appendix C Attachments A-I.pdf	Supplementary Document	Uploaded 2016-01-19	Available
DCRP Part B_ 01_2016.docx	Supporting Statement B	Uploaded 2016-01-19	Available
DCRP Part A_1112016.docx	Supporting Statement A	Uploaded 2016-01-19	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
219604	Deaths in Custody - Inmate Deaths in State Prisons	Form and Instruction	Unchanged

ICR Details

OMB Control No: 1121-0249	ICR Reference No: 201712-1121-001
Status: Historical Active	Previous ICR Reference No: 201601-1121-004
Agency/Subagency: DOJ/OJP	Agency Tracking No: BJS
Title: Deaths in Custody Reporting Program -- state prison collection
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 12/20/2017
	Date Received in OIRA: 12/14/2017
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	03/31/2019	03/31/2019	03/31/2019
Responses	3,646	0	3,646
Time Burden (Hours)	1,723	0	1,723
Cost Burden (Dollars)	0	0	0

---

Abstract: A Nonsubstantive change is being submitted to change the name of the Deaths in Custody Reporting Program - state prison collection to "Mortality in Correctional Institutions (State Prisons)." No other changes are being made to this collection. The Deaths in Custody (DCRP) prison collection provides a unique opportunity to study inmate mortality in-depth because it collects individual-level data on deaths in state prison. With information collected from the DCRP, BJS can track changes in mortality rates of imprisoned persons and improve the public’s understanding about deaths of persons under the control of the correctional system by reporting on cause of death and the circumstances surrounding the death

---

Authorizing Statute(s): US Code: 42 USC 3711 Name of Law: Omnibus Crime Control and Safe Streets Act of 1968
   US Code: 42 USC 3789G Name of Law: Confidentiality of Information
  

Citations for New Statutory Requirements: None

---

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	80 FR 53572	09/04/2015
30-day Notice:	Federal Register Citation:	Citation Date:
	80 FR 72740	11/20/2015
Did the Agency receive public comments on this ICR? No

---

Number of Information Collection (IC) in this ICR: 1

table that charts list of burden

IC Title	Form No.	Form Name
Deaths in Custody - Inmate Deaths in State Prisons	NPS-4, NPS-4A	Annual Summary of Inmate Deaths in State Prisons ,   State Prison Inmate Death Report

---

ICR Summary of Burden

table that charts list of burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	3,646	3,646	0	0	0	0
Annual Time Burden (Hours)	1,723	1,723	0	0	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: The total respondent burden has decreased since the last OMB clearance was obtained for these activities. The reason for this decrease is that the arrest-related death collection and the jail collection will be seeking separate clearances.

---

Annual Cost to Federal Government: $58,323

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     Yes

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

---

Common Form ICR:  No

---

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 12/14/2017

---