Information Collection Request

Mortality in Correctional Institutions

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

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form NPS-4A MCI State Prison Inmate Death Report Form and Instruction New Available
Form NPS-4 MCI Annual Summary of Inmate Deaths in State Prisons Form and Instruction New Available
Form CJ-10A MCI Annual Summary on Inmates in Private & Multi-Jurisdictional Jails Form and Instruction New Available
Form CJ-10 MCI Death Report on Inmates in Private & Multi-Jurisdictional Jails Form and Instruction New Available
Form CJ-9A MCI Annual Summary on Inmates Under Jail Jurisdiction Form and Instruction New Available
Form CJ-9 MCI Death Reports on Inmates under Jail Jurisdiction Form and Instruction New Available
Form NPS-4A State Prison Inmate Death Report Form and Instruction Removed Available
Form NPS-4 Annual Summary of 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 NewMCI State Prison Inmate Death Report
234820 Mortality in Correctional Institutions Form and Instruction NewMCI Annual Summary of Inmate Deaths in State Prisons
234820 Mortality in Correctional Institutions Form and Instruction NewMCI Annual Summary on Inmates in Private & Multi-Jurisdictional Jails
234820 Mortality in Correctional Institutions Form and Instruction NewMCI Death Report on Inmates in Private & Multi-Jurisdictional Jails
234820 Mortality in Correctional Institutions Form and Instruction NewMCI Annual Summary on Inmates Under Jail Jurisdiction
234820 Mortality in Correctional Institutions Form and Instruction NewMCI Death Reports on Inmates under Jail Jurisdiction
219604 Deaths in Custody - Inmate Deaths in State Prisons Form and Instruction RemovedState Prison Inmate Death Report
219604 Deaths in Custody - Inmate Deaths in State Prisons Form and Instruction RemovedAnnual Summary of Inmate Deaths in State Prisons

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





Reginfo record details
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 ,  
Mortality in Correctional Institutions CJ-9A, CJ-10, CJ-10A, NPS-4A, CJ-9, NPS-4 ,   ,   ,   ,   ,  

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