Information Collection Request

Mortality in Correctional Institutions

ICR 201901-1121-001 · OMB 1121-0249 · Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form NPS-4 Mortality in Correctional Institutions Form and Instruction New Available
Form NPS-4 Deaths in Custody - Inmate Deaths in State Prisons Form and Instruction Removed Available
appendices.pdf Supplementary Document Uploaded 2019-02-04 Available
Part B_final.docx Supporting Statement B Uploaded 2019-02-04 Available
Part A_final.docx Supporting Statement A Uploaded 2019-02-04 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
234820 Mortality in Correctional Institutions Form and Instruction New
219604 Deaths in Custody - Inmate Deaths in State Prisons Form and Instruction Removed

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
06/30/2021 36 Months From Approved 06/30/2019
3,050 0 3,646
3,823 0 1,723
0 0 0





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 3,050 3,646 0 -596 0 0
Annual Time Burden (Hours) 3,823 1,723 0 2,100 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No