Information Collection Request

Death in Custody Reporting Act

ICR 202108-1121-004 · OMB 1121-0365 · Received in OIRA

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
State Corrections Incident Report for Prison Input Form Unchanged Repair queued
State Corrections Incident Report Jail Input Form Unchanged Repair queued
State Correction Incident Report Form Unchanged Repair queued
LEA Incident Report for Lea Input Form Unchanged Repair queued
LEA Incident Report Form Unchanged Repair queued
Quarterly Summary Persons Input Form Unchanged Repair queued
Quarterly Summary Jail Input Form Unchanged Repair queued
Quarterly Summary LEA Input Form Unchanged Repair queued
Quarterly Summary Form Unchanged Repair queued
DCRA supporting statement.docx Supporting Statement A Uploaded 2021-08-26 Missing upstream
DICRA Legislation.pdf Supplementary Document Uploaded 2018-10-19 Repair queued
DCR Burden Estimates FINAL.pdf Supplementary Document Uploaded 2018-10-19 Repair queued

IC Document Collections

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

ICR Details

Reginfo record details
table that charts list comparision
  Requested Previously Approved
36 Months From Approved
20,354 0
13,757 0
0 0





table that charts list of burden
  Total Request 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 0 0 20,354
Annual Time Burden (Hours) 13,757 0 0 0 0 13,757
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No