Information Collection

Juvenile Residential Facilty Census

IC 12497 under ICR 202205-1121-001 · OMB 1121-0219.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1121-0219 Juvenile Residential Facilty Census	Form and Instruction
1121-0219 Juvenile Residential Facility Census 2020 JRFC_CJ15_final 1121-0219 Revised.pdf	Form and Instruction
1121-0219 Juvenile Residential Facility Census 2020 JRFC_CJ15_final 1121-0219 Revised.pdf	Form and Instruction
Juvenile Residential Facility Census Non-Substantive Change OMB No. 1121-0219.pdf	Form and Instruction
Juvenile Residential Facility Census Non-Substantive Change OMB No. 1121-0219.pdf	Form and Instruction

IC Title:

Agency IC Tracking Number:

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	1121-0219	Juvenile Residential Facility Census	2020 JRFC_CJ15_final 1121-0219 Revised.pdf		Yes	Yes	Fillable Printable
Form and Instruction	None	Juvenile Residential Facility Census	Non-Substantive Change OMB No. 1121-0219.pdf		Yes	Yes	Fillable Printable

Line of Business: Correctional Activities

Subfunction: Criminal Incarceration

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 1,848

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 65 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	1,848	1,848
Annual IC Time Burden (Hours)	4,928	4,928
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

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