National Inmate Survey Prisons (NIS-4) Pilot Test

Generic Clearance for Cognitive, Pilot and Field Studies for Bureau of Justice Statistics Data Collection Activities

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1121-0339 can be found here:

Documents and Forms

Document Name Document Type
National Inmate Survey Prisons (NIS-4) Pilot Test Form and Instruction
NIS-4 Questionnaire Specifications for Combined Instrume Year 4 NIS Specification_9-1-19.doc Form and Instruction
NIS-4 OMB Memo Pilot_FINAL.docx NIS-4 Pilot Test Memo to OMB IC Document
NIS-4 OMB Memo Pilot_Attachments.pdf NIS-4 Pilot Test Attachments IC Document

Information Collection (IC) Details

IC Title:	National Inmate Survey Prisons (NIS-4) Pilot Test	Agency IC Tracking Number:	BJS

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	N/A	NIS-4 Questionnaire Specifications for Combined Instrument	Year 4 NIS Specification_9-1-19.doc		Yes	Yes	Fillable Fileable

Line of Business: Correctional Activities

Subfunction: Criminal Incarceration

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 78	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 85 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	78	78
Annual IC Time Burden (Hours)	65	65
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
NIS-4 Pilot Test Memo to OMB	NIS-4 OMB Memo Pilot_FINAL.docx	09/18/2019
NIS-4 Pilot Test Attachments	NIS-4 OMB Memo Pilot_Attachments.pdf	09/18/2019

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.