Information Collection

Annual Survey of Jails in Indian Country

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

Documents and Forms

Documents and forms in this information collection
Document NameDocument Type
Form CJ-5B
Annual Survey of Jails in Indian Country
Form and Instruction
Form CJ-5B
2019 Annual Survey of Jails in Indian Country Annual Survey of Jails in Indian Country
Form and Instruction
Form CJ-5B
Survey of Jails in Indian Country with COVID-19 addendum 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

Information Collection (IC) Details

View Information Collection (IC)

layout table

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 Yes Yes Fillable Fileable
Form and Instruction CJ-5B Yes Yes Fillable Fileable

Federal Enterprise Architecture Business Reference Module


table that charts list of burden
  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 84 0 0 0 0 84
Annual IC Time Burden (Hours) 181 0 0 0 0 181
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Documents for IC
table that charts IC Documents
Title Document Date Uploaded
SJIC Contact Verification Script 04/16/2019
SJIC Survey Invitation Letter 04/16/2019
SJIC follow-up reminder 04/16/2019
Contact Verification Script 04/24/2020
Survey Invitation 04/24/2020
SJIC Reminder 04/24/2020
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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