Attachment E

Bureau of Justice Statistics

Fourth National Inmate Survey (NIS-4) Research Approval

On behalf of the Bureau of Justice Statistics, RTI International has received permission to conduct the fourth National Inmate Survey (NIS-4) in the following facilities in [STATE DOC/FBOP] under the Prison Rape Elimination Act of 2003 (PREA­—P.L. 108-79).

Facilities

Facility Name	Facility Name
Facility Name	Facility Name
Facility Name	Facility Name

As in previous iterations of NIS, interviews will be conducted using a laptop computer in all participating jurisdictions, and these laptops are approved for use in each of the above facilities. An internet connection is not needed to conduct the survey, and Wi-Fi has been disabled on all study laptops. RTI is aware a facility may prohibit the use of computer equipment with extremely high-risk inmates, and those decisions will be made on a case-by-case basis.

RTI would like to offer inmates a small incentive for their participation in the NIS-4. Depending on the facility’s preference, this incentive will be a snack-size bag of cookies to be consumed during the interview, or a STATE DOC ACRONYM-metered envelope. Please indicate your approval of the items to be offered by writing in Yes or No below. If you indicate approval for both incentives, RTI will work with you to determine which incentive to offer. Only one type of incentive will be supplied at each facility.

Study Incentive	Approved (Yes / No)
One snack-size bag of cookies (to be consumed during the interview) may be offered to each inmate who agrees to participate.
One metered envelope may be offered to each inmate who agrees to participate.

Signature		Date
Printed Name		Title

Permission to conduct the fourth National Inmate Survey (NIS-4)