Information Collection Request

Death in Custody Reporting Act

ICR 202108-1121-004 · OMB 1121-0365 · Historical Inactive

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
State Corrections Incident Report for Prison Input Form Modified Repair queued
State Corrections Incident Report for Prison Input Form Unchanged Repair queued
State Corrections Incident Report Jail Input Form Modified Repair queued
State Corrections Incident Report Jail Input Form Unchanged Repair queued
State Correction Incident Report Form Modified Repair queued
State Correction Incident Report Form Unchanged Repair queued
LEA Incident Report for LEA Input Form Removed Repair queued
LEA Incident Report for Lea Input Form Unchanged Repair queued
LEA Death Report Form Modified Repair queued
LEA Incident Report Form Unchanged Repair queued
Quarterly Summary Prisons Input Form Removed Repair queued
Quarterly Summary Persons Input Form Unchanged Repair queued
Quarterly Summary Jail Input Form Removed Repair queued
Quarterly Summary Jail Input Form Unchanged Repair queued
Quarterly Summary LEA Input Form Removed Repair queued
Quarterly Summary LEA Input Form Unchanged Repair queued
Quarterly Summary Form Modified Available
Quarterly Summary Form Unchanged Repair queued
DCRA supporting statement.docx Supporting Statement A Uploaded 2021-08-26 Repair queued
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 Death Report for Prison Form ModifiedState Corrections Incident Report for Prison Input
233651 State Corrections Incident Report for Prison Input Form Unchanged
233650 State Corrections Death Report Jail Form ModifiedState Corrections Incident Report Jail Input
233650 State Corrections Incident Report Jail Input Form Unchanged
233649 State Death Report Form ModifiedState Correction Incident Report
233649 State Correction Incident Report Form Unchanged
233648 LEA Incident Report for Lea Input Form RemovedLEA Incident Report for LEA Input
233648 LEA Incident Report for Lea Input Form Unchanged
233647 LEA Death Report Form ModifiedLEA Death Report
233647 LEA Incident Report Form Unchanged
233646 Quarterly Summary Persons Input Form RemovedQuarterly Summary Prisons Input
233646 Quarterly Summary Persons Input Form Unchanged
233645 Quarterly Summary Jail Input Form RemovedQuarterly Summary Jail Input
233645 Quarterly Summary Jail Input Form Unchanged
233644 Quarterly Summary LEA Input Form RemovedQuarterly Summary LEA Input
233644 Quarterly Summary LEA Input Form Unchanged
233643 State Quarterly Summary Form ModifiedQuarterly Summary
233643 Quarterly Summary Form Unchanged

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
36 Months From Approved
0 0 0
0 0 0
0 0 0





Reginfo record details
5
table that charts list of burden
IC Title Form No. Form Name
LEA Death Report none
LEA Incident Report for Lea Input none
Quarterly Summary Jail Input none
Quarterly Summary LEA Input none
Quarterly Summary Persons Input none
State Corrections Death Report Jail none
State Corrections Death Report for Prison none
State Death Report none
State Quarterly Summary none



Reginfo record details
  No