Information Collection

Annual Survey of Jails in Indian Country

IC 235684 under ICR 202201-1121-001 · OMB 1121-0364.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1121-0364 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form CJ-5B Annual Survey of Jails in Indian Country	Form and Instruction
SJIC web-based screenshots.pdf	Other-
CJ-5B 2019 Annual Survey of Jails in Indian Country (A) Survey form cj-5b_19.pdf	Form and Instruction
CJ-5B 2019 Annual Survey of Jails in Indian Country (A) Survey form cj-5b_19.pdf	Form and Instruction
CJ-5B Survey of Jails in Indian Country with COVID-19 addendum (A) Survey form cj-5b_2019-2021 REVISED.pdf	Form and Instruction
CJ-5B Survey of Jails in Indian Country with COVID-19 addendum (A) Survey form cj-5b_2019-2021 REVISED.pdf	Form and Instruction
(B) SJIC Contact Verification Script.pdf SJIC Contact Verification Script	IC Document
(B) SJIC Contact Verification Script.pdf SJIC Contact Verification Script	IC Document
(C) SJIC_SurveyInvitation.pdf SJIC Survey Invitation Letter	IC Document
(C) SJIC_SurveyInvitation.pdf SJIC Survey Invitation Letter	IC Document
(D) SJIC reminder.pdf SJIC follow-up reminder	IC Document
(D) SJIC reminder.pdf SJIC follow-up reminder	IC Document
(B) SJIC Contact Verification Script 2020_2021.docx Contact Verification Script	IC Document
(B) SJIC Contact Verification Script 2020_2021.docx Contact Verification Script	IC Document
(C) SJIC_SurveyInvitation 2020_2021.docx Survey Invitation	IC Document
(C) SJIC_SurveyInvitation 2020_2021.docx Survey Invitation	IC Document
(D) SJIC reminder.docx SJIC Reminder	IC Document
(D) SJIC reminder.docx SJIC Reminder	IC Document

IC Title:

Annual Survey of Jails in Indian Country

Agency IC Tracking Number:

BJS

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	CJ-5B	2019 Annual Survey of Jails in Indian Country	(A) Survey form cj-5b_19.pdf		Yes	Yes	Fillable Fileable
Form and Instruction	CJ-5B	Survey of Jails in Indian Country with COVID-19 addendum	(A) Survey form cj-5b_2019-2021 REVISED.pdf		Yes	Yes	Fillable Fileable

Line of Business: Correctional Activities

Subfunction: Criminal Incarceration

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 84

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 40 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	84	84
Annual IC Time Burden (Hours)	181	181
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
SJIC Contact Verification Script	(B) SJIC Contact Verification Script.pdf	04/16/2019
SJIC Survey Invitation Letter	(C) SJIC_SurveyInvitation.pdf	04/16/2019
SJIC follow-up reminder	(D) SJIC reminder.pdf	04/16/2019
Contact Verification Script	(B) SJIC Contact Verification Script 2020_2021.docx	04/24/2020
Survey Invitation	(C) SJIC_SurveyInvitation 2020_2021.docx	04/24/2020
SJIC Reminder	(D) SJIC reminder.docx	04/24/2020

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