Information Collection Request

Death in Custody Reporting Act

ICR 201904-1121-002 · OMB 1121-0365 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
State Corrections Incident Report for Prison Input Form Unchanged Available
State Corrections Incident Report Jail Input Form Unchanged Available
State Correction Incident Report Form Unchanged Available
LEA Incident Report for LEA Input Form Unchanged Available
LEA Incident Report Form Unchanged Available
Quarterly Summary Prisons Input Form Unchanged Available
Quarterly Summary Jail Input Form Unchanged Available
Quarterly Summary LEA Input Form Unchanged Available
Quarterly Summary Form Unchanged Available
BJA DICRA Part B OMB Responses Final 2.docx Supporting Statement B Uploaded 2019-06-13 Available
BJA DCRA Supporting Statement OMB Responses Final 2 (002).docx Supporting Statement A Uploaded 2019-06-13 Available
DICRA Legislation.pdf Supplementary Document Uploaded 2018-10-19 Available
DCR Burden Estimates FINAL.pdf Supplementary Document Uploaded 2018-10-19 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
233651 State Corrections Incident Report for Prison Input Form UnchangedState Corrections Incident Report for Prison Input
233650 State Corrections Incident Report Jail Input Form UnchangedState Corrections Incident Report Jail Input
233649 State Correction Incident Report Form UnchangedState Correction Incident Report
233648 LEA Incident Report for Lea Input Form UnchangedLEA Incident Report for LEA Input
233647 LEA Incident Report Form UnchangedLEA Incident Report
233646 Quarterly Summary Persons Input Form UnchangedQuarterly Summary Prisons Input
233645 Quarterly Summary Jail Input Form UnchangedQuarterly Summary Jail Input
233644 Quarterly Summary LEA Input Form UnchangedQuarterly Summary LEA Input
233643 Quarterly Summary Form UnchangedQuarterly Summary

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
20,354 0 0
13,757 0 0
0 0 0





Reginfo record details
9
table that charts list of burden
IC Title Form No. Form Name
LEA Incident Report none
LEA Incident Report for Lea Input none
Quarterly Summary none
Quarterly Summary Jail Input none
Quarterly Summary LEA Input none
Quarterly Summary Persons Input none
State Correction Incident Report none
State Corrections Incident Report Jail Input none
State Corrections Incident Report for Prison Input none

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 20,354 0 0 20,354 0 0
Annual Time Burden (Hours) 13,757 0 0 13,757 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No