Information Collection

Annual Jail Collection Surveys (ASJ, DCRP, SJIC)

IC 219043 under ICR 202004-1121-002 · OMB 1121-0094.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1121-0094 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form CJ-5b Annual Jail Collection Surveys (ASJ, DCRP, SJIC)	Form and Instruction
CJ-5b Annual Survey of Jails in Indian Country cj-5b_15.pdf	Form and Instruction
CJ-9 Death Report on Inmates under Jail Jurisdiction 2016 CJ-9 Form_2015-10-09.pdf	Form and Instruction
CJ-9A Annual Summary on Inmates under Jail Jurisdiction (short 2015CJ-9A_short_2015-08-03.pdf	Form and Instruction
CJ-5 2017 Annual Survey of Jails CJ5 (ASJ).PDF	Form and Instruction
CJ-10 Death Report on Inmates in Private and Multi-Jurisdictio 2016 CJ-10 Form_2015-10-09.pdf	Form and Instruction
CJ-10A Annual Summary on Inmates in Private and Multi-Jurisdict 2015CJ-10A_short_2015-08-03.pdf	Form and Instruction
CJ-5A 2017 Annual Survey of Jails Private and Multijurisdictio CJ5A (ASJ).PDF	Form and Instruction
Appendix C Attachments A-M.pdf Appendices for IC	IC Document
ASJ nonsubstantive change memo.docx Memo for ASJ Nonsubstantive Change	IC Document

IC Title:

Annual Jail Collection Surveys (ASJ, DCRP, SJIC)

Agency IC Tracking Number:

BJS

Is this a Common Form? No

IC Status: Removed

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	CJ-5b	Annual Survey of Jails in Indian Country	cj-5b_15.pdf	No		Paper Only
Form and Instruction	CJ-9	Death Report on Inmates under Jail Jurisdiction	2016 CJ-9 Form_2015-10-09.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	CJ-9A	Annual Summary on Inmates under Jail Jurisdiction (short form)	2015CJ-9A_short_2015-08-03.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	CJ-5	2017 Annual Survey of Jails	CJ5 (ASJ).PDF	Yes	Yes	Fillable Fileable
Form and Instruction	CJ-10	Death Report on Inmates in Private and Multi-Jurisdictional Jails	2016 CJ-10 Form_2015-10-09.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	CJ-10A	Annual Summary on Inmates in Private and Multi-Jurisdictional Jails (short form)	2015CJ-10A_short_2015-08-03.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	CJ-5A	2017 Annual Survey of Jails Private and Multijurisdictional Jails	CJ5A (ASJ).PDF	Yes	Yes	Fillable Fileable

Line of Business: Correctional Activities

Subfunction: Criminal Incarceration

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 3,000

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 95 %

table that charts list of burden
	Program Change Due to Agency Discretion	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	-3,000	3,000
Annual IC Time Burden (Hours)	-2,946	2,946
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Appendices for IC	Appendix C Attachments A-M.pdf	11/20/2015
Memo for ASJ Nonsubstantive Change	ASJ nonsubstantive change memo.docx	02/02/2017

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