NPSMatHealth Attachments

Table of Contents
Document

Page

Attachment A. NPS-MatHealth instrument

2

Attachment B. BJS Authorizing Legislation

6

Attachment C. Semi-structured interview guide

11

Attachment D. NPS-MatHealth cognitive test instrument

19

Attachment E. NPS-MatHealth cognitive test interview script

23

Attachment F. 60-day Federal Register Notice

31

Attachment G. 60-day public comment

34

Attachment H. 30-day Federal Register Notice

44

Attachment I. Survey invitation letter

47

Attachment J. Reminder email

49

Attachment K. Nonresponse follow-up email

51

Attachment L. Nonresponse telephone call script

53

Attachment A
NPS-MatHealth instrument

2

NPS-MatHealth

OMB No. xxxx-xxxx: Approval Expires xx/xx/202x

RETURN
Abt Associates
TO

FORM

NPS-MatHealth
(xx-xx-202x)

National Prisoners Statistics Survey
55 Wheeler Street
Cambridge, MA 02138

2023 Maternal
Health Special Data
Collection

US DEPARTMENT OF JUSTICE

BUREAU OF JUSTICE STATISTICS
AND ACTING COLLECTION AGENT
ABT ASSOCIATES INC.

DATA SUPPLIED BY
NAME

TITLE

ADDRESS
TELEPHONE

Area Code

Number

FAX NUMBER

Area Code

Number

E-MAIL ADDRESS

GENERAL INFORMATION
• If you have any questions about completing this form, please contact the Abt Associates Project Director, Jennifer Bronson
(301-347-5647 or [email protected]) or BJS Statistician, Laura Maruschak (202-598-0802 or
[email protected]).
• Please complete the questionnaire before June 28, 2024 by emailing a scanned copy of the form to
[email protected], by mailing the completed form to Abt Associates at the address above, or by FAXing all
pages to 617-218-4500.
• Please retain a copy of the completed form for your records.

WHAT TO ✓ INCLUDE AND ✗ EXCLUDE IN THIS DATA COLLECTION
Facilities
✓ INCLUDE state-and BOP-operated correctional facilities (e.g., prisons, penitentiaries, and correctional institutions; release centers,
halfway houses, boot camps; prison farms; reception, diagnostic, and classification centers; and road camps; forestry and
conservation camps; vocational training facilities; prison hospitals; and drug and alcohol treatment facilities for prisoners).

✗ EXCLUDE private or contracted facilities housing persons under your authority

Admissions
✓ INCLUDE all types of admissions to your prison system, for sentences of any length or any total time served.
✗ EXCLUDE females under your jurisdiction held in local jails or in out-of-state prison facilities

Custody population
Persons physically held in your state- or BOP-operated correctional facilities
✓ INCLUDE
• Persons who are unsentenced or who are sentenced to any length of time.
• Persons who are temporarily absent (less than 30 days), out to court, or on work release.
• Persons held in your facilities who are serving a sentence for your jurisdiction and another
jurisdiction at the same time.
• Persons held in your facilities for another jurisdiction.
✓ EXCLUDE
• Persons held in local jails, private facilities, and in facilities in other jurisdictions.

BURDEN STATEMENT
Under the Paperwork Reduction Act, we cannot ask you to respond to a collection of information unless it displays a currently valid OMB
control number. Public reporting burden for this collection of information is estimated to average 2.5 hours per response, including the time for
reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the
collection of information. Send comments regarding this burden estimate or any other aspects of this collection of information, including
suggestions for reducing this burden, to the Director, Bureau of Justice Statistics, Washington, DC 20531; and to the Office of Management
and Budget, OMB No. xxxx-xxxx, Washington, DC 20503.
Page 1
3

1. Does your prison system —
Yes

No

Yes

No

Yes

No

b. H
 ave a pre-existing arrangement for
where they would transport a pregnant
women in the event of a pregnancy
emergency or labor...............................

a. Train staff on best practices for housing
and caring for pregnant women............

2. Do any of your correctional facilities —
✓ INCLUDE testing and appointments that are conducted either on or off facility grounds.

Yes

No

f. P
 rovide support services to assist pregnant women
throughout their pregnancy

a. Conduct pregnancy tests during intake..
b. Have an on-site medical infirmary or unit
that can care for pregnant women.........

i. Social workers...........................
ii. Psychologists............................

c. Have 24/7 nursing care or on-call medical
providers for pregnant women...............

iii. Doulas......................................

d. Conduct a medical appointment with a qualified
pregnancy care provider (e.g. obstetriciangynecologist, a family physician, certified nurse
midwife, women’s health nurse practitioner)

g. Screen for depression during pregnancy.
h. S
 creen for postpartum* depression........
* Postpartum refers to the period following the birth of a child.

i. Within 2 weeks of a positive
pregnancy test or from admission
if already pregnant.........................

i. Provide the opportunity to pump
breastmilk to maintain milk supply or to
provide to baby or baby’s caregiver......

ii. Routinely throughout the pregnancy..

j. Provide a specialized diet for those
breastfeeding or pumping breastmilk....

iii. Within 3 weeks after delivery..........

k. Have a nursery or residential program
where mothers and infants co-reside....

e. Provide pregnant women with
i. Lower bunk assignment.................
ii. Extra pillows...................................
iii. Special diet.....................................

If YES to 2k, GO  Q3
If NO to 2k, GO  Q4

iv. Prenatal vitamins............................

3. On December 31, 2023 —
How many women in your custody were participating in a nursery or residential program where
mothers and infants co-reside?

4. Between January 1, 2023 and December 31, 2023 —
a.How many women were admitted to your prison system? .......................................
Count individuals multiple times if they were admitted more than once during this time period.

b. Of the admissions reported in item 4a, how many were tested for pregnancy? .........................
Count individuals multiple times if they were admitted and tested for pregnancy multiple times during this period.

1.How many tested positive for pregnancy? ...............................................................................
Count individuals multiple times if they were admitted and tested positive multiple times during this period.
Page 2
4

5. On December 31, 2023 —
a. How many women in your custody were pregnant?
IF zero (0) SKIP  Q6

b. Of the pregnant women reported in item 5a, how many were –
White, not of Hispanic origin ....................................................................................................................
Black, not of Hispanic origin ...................................................................................................................
Hispanic or Latino ..................................................................................................................................
American Indian or Alaska Native, not of Hispanic origin ........................................................................
Asian, not of Hispanic origin ...................................................................................................................
Native Hawaiian or Other Pacific Islander, not of Hispanic origin ............................................................
Two or more races, not of Hispanic origin ..............................................................................................
Other racial category, not of Hispanic origin ............................................................................................
Unknown racial category, not of Hispanic origin ......................................................................................
TOTAL (Sum should equal item 5a TOTAL)

6. Between January 1, 2023 and December 31, 2023, how many women while in your custody —
a. Gave birth to a live baby(ies) ..............................................................................................................
b. Experienced a miscarriage .................................................................................................................
c. Experienced a stillbirth .......................................................................................................................
d. Experienced an ectopic pregnancy ....................................................................................................
e. Experienced an abortion (exclude terminations from ectopic pregnancy) ...........................................

END OF SURVEY

5

Attachment B
BJS Authorizing Legislation

6

DERIVATION
Title I
THE OMNIBUS CRIME CONTROL AND SAFE STREETS ACT OF 1968
(Public Law 90-351)
42 U.S.C. § 3711, et seq.
AN ACT to assist State and local governments in reducing the incidence of crime, to increase the effectiveness,
fairness, and coordination of law enforcement and criminal justice systems at all levels of government, and for
other purposes.
As Amended By
THE OMNIBUS CRIME CONTROL ACT OF 1970
(Public Law 91-644)
THE CRIME CONTROL ACT OF 1973
(Public Law 93-83)
THE JUVENILE JUSTICE AND DELINQUENCY PREVENTION ACT OF 1974
(Public Law 93-415)
THE PUBLIC SAFETY OFFICERS’ BENEFITS ACT OF 1976
(Public Law 94-430)
THE CRIME CONTROL ACT OF 1976
(Public Law 94-503)
THE JUSTICE SYSTEM IMPROVEMENT ACT OF 1979
(Public Law 96-157)
THE JUSTICE ASSISTANCE ACT OF 1984
(Public Law 98-473)
STATE AND LOCAL LAW ENFORCEMENT ASSISTANCE ACT OF 1986
(Public Law 99-570-Subtitle K)
THE ANTI-DRUG ABUSE ACT OF 1988
TITLE VI, SUBTITLE C - STATE AND LOCAL NARCOTICS CONTROL
AND JUSTICE ASSISTANCE IMPROVEMENTS
(Public Law 100-690)
THE CRIME CONTROL ACT OF 1990
(Public Law 101-647)
BRADY HANDGUN VIOLENCE PROTECTION ACT
(Public Law 103-159)
VIOLENT CRIME CONTROL AND LAW ENFORCEMENT ACT OF 1994
(Public Law 103-322)
NATIONAL CHILD PROTECTION ACT OF 1993, AS AMENDED
(Public Law 103-209)
and
CRIME IDENTIFICATION TECHNOLOGY ACT OF 1998
(Public Law 105-251)

7

BUREAU OF JUSTICE STATISTICS
CHAPTER 46 - SUBCHAPTER III
[TITLE I - PART C]
42 USC § 3731

[Sec. 301.] Statement of purpose

It is the purpose of this subchapter [part] to provide for and encourage the collection and analysis of
statistical information concerning crime, juvenile delinquency, and the operation of the criminal justice
system and related aspects of the civil justice system and to support the development of information and
statistical systems at the Federal, State, and local levels to improve the efforts of these levels of government
to measure and understand the levels of crime, juvenile delinquency, and the operation of the criminal
justice system and related aspects of the civil justice system. The Bureau shall utilize to the maximum
extent feasible State governmental organizations and facilities responsible for the collection and analysis of
criminal justice data and statistics. In carrying out the provisions of this subchapter [part], the Bureau shall
give primary emphasis to the problems of State and local justice systems.
42 USC § 3732

[Sec. 302.] Bureau of Justice Statistics

(a) Establishment. There is established within the Department of Justice, under the general authority of the
Attorney General, a Bureau of Justice Statistics (hereinafter referred to in this subchapter [part] as
“Bureau”).
(b) Appointment of Director; experience; authority; restrictions. The Bureau shall be headed by a Director
appointed by the President, by and with the advice and consent of the Senate. The Director shall have had
experience in statistical programs. The Director shall have final authority for all grants, cooperative
agreements, and contracts awarded by the Bureau. The Director shall report to the Attorney General
through the Assistant Attorney General. The Director shall not engage in any other employment than that
of serving as Director; nor shall the Director hold any office in, or act in any capacity for, any organization,
agency, or institution with which the Bureau makes any contract or other arrangement under this Act.
(c) Duties and functions of Bureau. The Bureau is authorized to–
(1) make grants to, or enter into cooperative agreements or contracts with public agencies,
institutions of higher education, private organizations, or private individuals for purposes related
to this subchapter [part]; grants shall be made subject to continuing compliance with standards for
gathering justice statistics set forth in rules and regulations promulgated by the Director;
(2) collect and analyze information concerning criminal victimization, including crimes against the
elderly, and civil disputes;
(3) collect and analyze data that will serve as a continuous and comparable national social
indication of the prevalence, incidence, rates, extent, distribution, and attributes of crime, juvenile
delinquency, civil disputes, and other statistical factors related to crime, civil disputes, and
juvenile delinquency, in support of national, State, and local justice policy and decision making;
(4) collect and analyze statistical information, concerning the operations of the criminal justice
system at the Federal, State, and local levels;
(5) collect and analyze statistical information concerning the prevalence, incidence, rates, extent,
distribution, and attributes of crime, and juvenile delinquency, at the Federal, State, and local
levels;
(6) analyze the correlates of crime, civil disputes and juvenile delinquency, by the use of statistical
information, about criminal and civil justice systems at the Federal, State, and local levels, and
about the extent, distribution and attributes of crime, and juvenile delinquency, in the Nation and
at the Federal, State, and local levels;
(7) compile, collate, analyze, publish, and disseminate uniform national statistics concerning all
aspects of criminal justice and related aspects of civil justice, crime, including crimes against the
elderly, juvenile delinquency, criminal offenders, juvenile delinquents, and civil disputes in the
various States;
8

(8) recommend national standards for justice statistics and for insuring the reliability and validity
of justice statistics supplied pursuant to this chapter [title];
(9) maintain liaison with the judicial branches of the Federal and State Governments in matters
relating to justice statistics, and cooperate with the judicial branch in assuring as much uniformity
as feasible in statistical systems of the executive and judicial branches;
(10) provide information to the President, the Congress, the judiciary, State and local
governments, and the general public on justice statistics;
(11) establish or assist in the establishment of a system to provide State and local governments
with access to Federal informational resources useful in the planning, implementation, and
evaluation of programs under this Act;
(12) conduct or support research relating to methods of gathering or analyzing justice statistics;
(13) provide for the development of justice information systems programs and assistance to the
States and units of local government relating to collection, analysis, or dissemination of justice
statistics;
(14) develop and maintain a data processing capability to support the collection, aggregation,
analysis and dissemination of information on the incidence of crime and the operation of the
criminal justice system;
(15) collect, analyze and disseminate comprehensive Federal justice transaction statistics
(including statistics on issues of Federal justice interest such as public fraud and high technology
crime) and to provide technical assistance to and work jointly with other Federal agencies to
improve the availability and quality of Federal justice data;
(16) provide for the collection, compilation, analysis, publication and dissemination of
information and statistics about the prevalence, incidence, rates, extent, distribution and attributes
of drug offenses, drug related offenses and drug dependent offenders and further provide for the
establishment of a national clearinghouse to maintain and update a comprehensive and timely data
base on all criminal justice aspects of the drug crisis and to disseminate such information;
(17) provide for the collection, analysis, dissemination and publication of statistics on the
condition and progress of drug control activities at the Federal, State and local levels with
particular attention to programs and intervention efforts demonstrated to be of value in the overall
national anti- drug strategy and to provide for the establishment of a national clearinghouse for the
gathering of data generated by Federal, State, and local criminal justice agencies on their drug
enforcement activities;
(18) provide for the development and enhancement of State and local criminal justice information
systems, and the standardization of data reporting relating to the collection, analysis or
dissemination of data and statistics about drug offenses, drug related offenses, or drug dependent
offenders;
(19) provide for research and improvements in the accuracy, completeness, and inclusiveness of
criminal history record information, information systems, arrest warrant, and stolen vehicle record
information and information systems and support research concerning the accuracy, completeness,
and inclusiveness of other criminal justice record information;
(20) maintain liaison with State and local governments and governments of other nations
concerning justice statistics;
(21) cooperate in and participate with national and international organizations in the development
of uniform justice statistics;
(22) ensure conformance with security and privacy requirement of section 3789g of this title and
identify, analyze, and participate in the development and implementation of privacy, security and
information policies which impact on Federal and State criminal justice operations and related
statistical activities; and
9

(23) exercise the powers and functions set out in subchapter VIII [part H] of this chapter [title].
(d) Justice statistical collection, analysis, and dissemination. To insure that all justice statistical collection,
analysis, and dissemination is carried out in a coordinated manner, the Director is authorized to–
(1) utilize, with their consent, the services, equipment, records, personnel, information, and
facilities of other Federal, State, local, and private agencies and instrumentalities with or without
reimbursement therefore, and to enter into agreements with such agencies and instrumentalities for
purposes of data collection and analysis;
(2) confer and cooperate with State, municipal, and other local agencies;
(3) request such information, data, and reports from any Federal agency as may be required to
carry out the purposes of this chapter [title];
(4) seek the cooperation of the judicial branch of the Federal Government in gathering data from
criminal justice records; and
(5) encourage replication, coordination and sharing among justice agencies regarding information
systems, information policy, and data.
(e) Furnishing of information, data, or reports by Federal agencies. Federal agencies requested to furnish
information, data, or reports pursuant to subsection (d)(3) of this section shall provide such information to
the Bureau as is required to carry out the purposes of this section.
(f) Consultation with representatives of State and local government and judiciary. In recommending
standards for gathering justice statistics under this section, the Director shall consult with representatives of
State and local government, including, where appropriate, representatives of the judiciary.
42 USC § 3733

[Sec. 303.] Authority for 100 per centum grants

A grant authorized under this subchapter [part] may be up to 100 per centum of the total cost of each
project for which such grant is made. The Bureau shall require, whenever feasible as a condition of
approval of a grant under this subchapter [part], that the recipient contribute money, facilities, or services to
carry out the purposes for which the grant is sought.
42 USC § 3735

[Sec. 304.] Use of data

Data collected by the Bureau shall be used only for statistical or research purposes, and shall be gathered in
a manner that precludes their use for law enforcement or any purpose relating to a particular individual
other than statistical or research purposes.

10

Attachment C
Semi-structured interview Guide

11

Maternal Health Feasibility Study: Interview Guide
Facility(ies): _________________________

Interviewer(s): ______________________________

Facility POC:________________________

Notetaker(s): _______________________________

Date: ______________________________

Interviewee(s): ______________________________

Introduction and purpose of the call
Hello, this is [INTERVIEWER NAME], calling from Abt Associates on behalf of the Bureau of Justice
Statistics (BJS). Thank you for agreeing to participate in BJS’s Maternal Health Feasibility Study!
Information about the Study: The purpose of the feasibility study is to learn about maternal health care
standards and practices in your <>, data on maternal health care and services that are
collected and how/where those data are housed, and potential challenges and solutions if BJS were to
request administrative and/or individual-level inmate records for research purposes. We are collecting this
information for internal BJS planning purposes to determine whether BJS should try to gather
administrative and/or individual-level inmate data from prisons and local jails in the future.
IRB Disclosures: Individual responses about your <> will not be published or released
outside of BJS. BJS and Abt are bound by federal law (34 USC 10231) to use data for research and
statistical purposes only, maintain and protect the data securely, and ensure data confidentiality. The
interview should take between 45 and 90 minutes. Your participation in this study is voluntary. You may
decline to answer any and all questions, or stop your participation, at any time. However, we ask for your
assistance with this study because your response is valuable for BJS to understand record keeping on
maternal health, what information about maternal health is recorded, and the capability of facilities to share
these data with us, so that BJS can make an informed decision on whether and how to proceed with
collecting and reporting statistics on pregnant women in custody. Do you consent to participate in the
study? [If not, ask for clarification (e.g., is s/he the right person to answer the questions? Are there any
specific concerns we can address?) and then thank individual for their time.]
Before we Begin: We want to be sure your <> has identified the best
person/people to talk with us. Can you please tell us your official title and role within the
<>? [Prompt to be sure the person has knowledge about the maternal health
data and/or standards/processes.]
We also want you to know that you may not have all of the answers to our questions – that’s okay! We
will be taking notes, and we will send them to you after the interview, along with any questions that were
outstanding. Do you have any questions before we begin?
Great! We will begin taking notes now. [Start notetaking]

Confirming Facility Information [Pre-populated prior to call]
I would like to begin by confirming some of the information we have collected on your
<> Let me read the information we have gathered, and you can tell me if there
is any incorrect information.

*NOTE: If speaking to DOC rep, in preparation for the call, populate the list of prison facilities under that DOC’s jurisdiction.
12

 Facility type(s) (check all that apply):

 Respondent type

 Jail
 Locally operated
 Privately operated
 Tribal jail

 Reporting for a single facility
 Reporting for multiple facilities
 DOC
 BOP
 Private corporation
 Jail jurisdiction

 Prison
 State operated
 Privately operated
 BOP operated

 Custody status(es) of inmates in your
facility(ies) (check all that apply):

 Unified system (combined jail/prison)

 Minimum/Low
 Medium
 High

 Facility(ies) house (check all that apply):
 Pretrial
 Holds for other agencies
 Sentenced
 Other (specify)______________________

 Super
 Administrative

 Sex: Female-only / Coed facility / Combo
 Average daily population of females (exclude
if reporting for multiple facilities): _________

[** If respondent is reporting on multiple facilities:] Since you will be reporting on multiple facilities in
your jurisdiction, I would like you to answer on behalf of those facilities, but please let me know if there
are any questions that may have different answers for different facilities. For example, you may have the
same maternal health policies and procedures for all of your facilities, however you may have case
management system vendors that differ based on facility.
The interview has three sections:
(1) The policies and procedures that guide your maternal health practices within your facility;
(2) Your facility’s data management system and particular variables of interest; and
(3) Key challenges you may have in providing this data to BJS, and potential mitigation strategies.
Let’s begin with Section 1.

------------------------------------------------------------------------------------------------------------------Section 1: Policies and Procedures
1a.

Does your <> have specific policies/procedures on how to care for pregnant
women?
-

If yes: Do you have a hard or electronic copy that you would be willing to share?

1b. Does your <> have specific policies/procedures on the types of service(s) pregnant
women receive?
-

If yes: Do you have a hard or electronic copy that you would be willing to share?

13

1c. Does your <> offer specialized training and/or modules for new COs or facility
staff on how to care for and/or provide services to pregnant women?
1d. Does your <> have any certification (e.g., NCCHC, APA, other) as it relates to
maternal health care/services?
-

[If no] Is this something you anticipate getting?
[If yes] Which certification and why? [Nudge to try to get the impetus for the certification; reactive
or proactive in nature?]

1e. Does your <> provide any material on maternal health to pregnant women?
-

If yes, can you please provide it to us? [If no, prompt for who designed/drafted the material]

1f. How does your <> provide pregnant inmates access to healthcare?
-

Does your <> have an onsite medical infirmary or hospital to treat inmates?
o [If yes] Is that onsite facility equipped with the conditions to handle prenatal care, live- or
stillborn births, and post-natal care to the mother and baby?
o [If no] How are inmates transported in the case emergency care services are required?
How long is the travel time to the nearest appropriate facility?

1g. Does your <> have a special housing unit for pregnant women?
-

[If yes] Can you please tell me more about what this looks like and how it differs from other
housing conditions?

1h. Does your <> have any special units that allow for a baby to stay in the facility
with the mother?
-

[If yes] How long can the baby stay in the facility? What are the conditions? What are the
limitations and/or restrictions?

1i.

At what point are women screened for pregnancy?

1j.

Are women of a certain age automatically screened for pregnancy?

1k.

How quickly are pregnancy test results returned to the <>? To the pregnant
woman?

1l. Once identified as being pregnant, what happens to the woman immediately afterwards? [Allow to
answer openly, then prompt below.]
- Specialized housing?
- Specialized diet and/or prenatal medication?
- Provided access to OB/GYN medical provider? [Direct or indirect access?]
- Access to Substance Use Disorder (SUD) or other treatment?
- Access to mental health counselor or social worker?
- Standardized information provided on options regarding the pregnancy outcome and the baby’s
placement (if the woman will still be incarcerated)?
- Connected to special ombudsperson or another designee to facilitate decision-making?

14

Section 2: Data Management System
Facility Inmate Management System Characteristics
2a. Vendor and product name for inmate case management system: ____________________________
2b. Where is the data stored? In-house, external vendor, centralized, other?
-

For external vendors, is there a charge to: Add in data elements? Pull the individual-level data at
your request? Pull the aggregate-level data at your request?

-

For internally developed and managed systems, do you have the ability to create new aggregate
reports (e.g., the number of pregnant women in custody)?

2c. Are inmates’ medical records housed in the case management system?
-

If no: Where are the medical records housed? Who oversees/keeps that data? Can the data be
linked to your inmate case management system?

Before we move forward, I want to remind you that the questions we ask are intended to help inform BJS
of what is actually feasible to collect and report. I will be asking questions about PII and other protected
data, and our intention is not to request this data, but to understand some of the challenges that BJS may
have if they decided to pursue a request. Also, some of the questions in this section may be answered by
any of your guiding policies and procedures documentation; by providing these documents, we can further
report on additional challenges or resources that BJS can consider.
Availability of Individual Data Elements (Yes/No)
2d. Does your <> case management system capture the following data elements on
persons detained or serving time in your facility?
Category
Personal
identifiers and
characteristics

Data Element

Full Name
Date of birth
Sex
Race and ethnicity
Citizenship
Years of schooling completed
Occupation
Fingerprint-backed State ID #
FBI number
Full Social Security Number (SSN)
Last 6-digit SSN
Defendant’s prior criminal history
Status in custody (e.g., pretrial, sentenced, hold for another
agency)
Illicit drug use/SUD

15

Availability
 Yes  No
 Yes  No
 Yes  No
 Yes  No
 Yes  No
 Yes  No
 Yes  No
 Yes  No
 Yes  No
 Yes  No
 Yes  No
 Yes  No
 Yes  No
 Yes  No

Category
Initial
Screenings

Data Element

Pregnancy
Prescription drug use/abuse
Alcohol use/abuse
Other bodily injury
Potential
Method of delivery (vaginal or cesarean)
Maternal
Hospitalization(s) unrelated to birth
Health
Preeclampsia
Complications Gestational Diabetes
(once
Other pregnancy-related complication(s)
identified as
Maternal hospitalization(s) related to birth
pregnant)
Incarceration
Mental health care services
Services/
Substance abuse services (if applicable)
Exposures
Number of obstetrics exams
Number of ultrasounds
Regular prenatal counseling, as requested
Pregnancy
Pregnancy loss such as stillbirth or other miscarriage (neonatal
Outcomes
mortality)
Abortion
Live birth
Major neonatal abnormalities (structural, malformations,
chromosomal)
Live birth weight
Sex of child
Apgar score
Infant requiring NICU care
Severe maternal morbidity and mortality (1-year post-partum)

Availability
 Yes  No
 Yes  No
 Yes  No
 Yes  No
 Yes  No
 Yes  No
 Yes  No
 Yes  No
 Yes  No
 Yes  No
 Yes  No
 Yes  No
 Yes  No
 Yes  No
 Yes  No
 Yes  No
 Yes  No
 Yes  No
 Yes  No
 Yes  No
 Yes  No
 Yes  No
 Yes  No
 Yes  No

2e. Additional measures that your data management system collects on maternal health?

Section 3: Key Challenges/Solutions
3a. Do you have a Data Use Agreement (DUA) or a Memoranda of Understanding (MOU) template for
data sharing?
- If yes, would a DUA be required to share aggregate-level maternal health data with BJS?
-

If yes, would a DUA required to share individual-level maternal health data with BJS?

-

Facility’s Capability and Burden to Share Aggregate-Level Data with BJS

-

If BJS were to request aggregate-level maternal health data for statistical and research purposes:

-

3h. What administrative processes does your facility have in place for sharing aggregate maternal
data with other agencies?

16

-

3i. Are there any major legal challenges to providing aggregate maternal health data to BJS? If
yes, please explain.

-

3j. Are there any major technical challenges to providing aggregate maternal health data to BJS?
If yes, please explain.

-

3k. Are there any major management/resource challenges to providing aggregate maternal health
data to BJS? If yes, please explain.

-

3l. Any other challenges to providing aggregate maternal health data on maternal health? If yes,
please explain.

-

3m. What types of assistance can BJS provide to you to decrease the challenges in providing
aggregate-level maternal health data?

Facility’s Capability and Burden to Share Individual-Level Data with BJS
If BJS were to request individual-level inmate maternal health data for statistical and research purposes:
3b.

What administrative processes does your <> have in place for sharing
individual-level maternal health data with other agencies?

3c. Are there any major legal challenges to providing individual-level maternal health data to
BJS? If yes, please explain.
3d. Are there any major technical challenges to providing individual-level maternal health data
to BJS? If yes, please explain.
3e. Are there any major management/resource challenges to providing individual-level maternal
health data to BJS? If yes, please explain.
3f. Any other challenges to providing individual-level data on maternal health? If yes, please
explain.
3g. What types of assistance can BJS provide to you to decrease the challenges in providing individuallevel maternal health data?
Burden to Pull Data Extracts [Can be hours of work and/or length of time from initial request to
produce the data]
3n. How long would it take you to create an aggregate data extract that contains the number of pregnant
women in custody for a period of one year? You may use 100 fields per record for estimating
purposes.
3o. How long would it take you to create an aggregate data extract that contains the number of pregnant
women in custody for a one-day count? You may use 100 fields per record for estimating purposes.

17

3p. How long would it take you to create an aggregate data extract that contains the outcomes of pregnant
women in custody for a period of one year? You may use 100 fields per record for estimating
purposes.
3q. How long would it take you to create an individual-level data extract that contains the health care
utilization and provision of services of pregnant women in custody for a period of one year? You
may use 100 fields per record for estimating purposes.
3r. How long would it take you to create an individual-level data extract that contains the overall health
status of pregnant women in custody for a period of one year? You may use 100 fields per record for
estimating purposes.
3s. Of the surveys and data requests you are asked to report on an annual basis, which (if any) would be
relevant to these answering these questions? (E.g., do you have any other data requests that may be
applicable to answering questions on maternal health care and practices?)
3t. Who is your contact person should BJS wish to discuss maternal health practices and services with
your <>? Is that the same individual who would be best to provide the data to
BJS, should they request it?
Thank you for your time and assistance. Do you have any questions we can answer?

18

Attachment D
NPS-MatHealth cognitive test instrument

19

FOR TESTING PURPOSES ONLY
Please track how long it takes you to complete each item

RETURN
TO

Jennifer Bronson
Maternal Health SSP
Abt Associates
[email protected]

FORM

Department of
Corrections Maternal
Health Special
Data Collection

NPSMatHealth

US DEPARTMENT OF JUSTICE

BUREAU OF JUSTICE STATISTICS
AND ACTING COLLECTION AGENT
ABT ASSOCIATES INC.

DATA SUPPLIED BY
NAME

TITLE

ADDRESS
TELEPHONE

Area Code

Number

FAX NUMBER

Area Code

Number

E-MAIL ADDRESS

GENERAL INFORMATION
If you have any questions about completing this form, please contact Jennifer Bronson, Abt Project Director,
at 301-347-5647 or [email protected] or Rich Kluckow, BJS Corrections Unit Chief, at
[email protected].

WHAT TO ✓ INCLUDE AND ✗ EXCLUDE IN THIS DATA COLLECTION
Facilities
✓ INCLUDE state-operated correctional facilities (e.g., prisons, penitentiaries, and correctional institutions; boot camps; prison
farms; reception, diagnostic, and classification centers; release centers, halfway houses, and road camps; forestry and
conservation camps; vocational training facilities; prison hospitals; and drug and alcohol treatment facilities for prisoners)
✗ EXCLUDE private or contracted facilities housing persons under your state’s authority

Admissions
✓ INCLUDE all types of admissions to your prison system, for sentences of any length or any total time served.
✗ EXCLUDE females under your jurisdiction held in local jails or in out-of-state prison facilities.

Custody population
✓ INCLUDE
• Persons who are unsentenced or who are sentenced to any length of time.
• Persons physically held in your correctional facilities (e.g., prisons, penitentiaries, and correctional institutions;
boot camps; prison farms; reception, diagnostic, and classification centers; release centers, halfway houses, and
road camps; forestry and conservation camps; vocational training facilities; prison hospitals; and drug and alcohol
treatment facilities for prisoners).
• Persons who are temporarily absent (less than 30 days), out to court, or on work release.
• Persons held in your facilities who are serving a sentence for your jurisdiction and another jurisdiction
at the same time.
• Persons held in your facilities for another jurisdiction.
✓ EXCLUDE
• Persons held in local jails, private prisons, and in state-operated correctional facilities located in other jurisdictions.

Page 1
20

FOR TESTING PURPOSES ONLY
Please track how long it takes you to complete each item

1. Does your Department of Corrections —
Yes

No

Yes

No

Yes

No

b. H
 ave a pre-existing arrangement for
where they would transport a pregnant
women in the event of a pregnancy
emergency or labor

a. Train staff on best practices for housing
and caring for pregnant women

2. Do any of your state-operated correctional facilities —
✓ INCLUDE testing and appointments that are conducted either on or off facility grounds.

Yes

No

f. P
 rovide support services to assist pregnant women
throughout their pregnancy

a. Conduct pregnancy tests during intake
b. H
 ave an on-site medical infirmary or
hospital to care for pregnant women.....

i. Social workers...........................

c. H
 ave 24/7 nursing care or on-call
medical providers to care for
pregnant women ..................................

ii. Psychologists............................
iii. Doulas......................................

d. Conduct a medical appointment with a qualified
pregnancy care provider (e.g. obstetriciangynecologist, a family physician, certified nurse
midwife, women’s health nurse practitioner) –

g. Screen for depression during pregnancy
h. S
 creen for postpartum* depression........

i. W
 ithin 2 weeks of a positive
pregnancy test or from admission
if already pregnant.........................

* Postpartum refers to the period following the birth of a child.

i. Provide the opportunity to pump
breastmilk to maintain milk supply or to
provide to baby or baby’s caregiver

ii. Routinely throughout the pregnancy
iii. Within 3 weeks after delivery..........

j. Provide a specialized diet for those
breastfeeding or pumping breastmilk

e. Provide pregnant women with

k. Have a nursery or residential program
where mothers and infants co-reside

i. Lower bunk assignment.................
ii. Extra pillows...................................
iv. Special diet.....................................

If YES to 2k, GO  Q3
If NO to 2k, GO  Q4

v. Prenatal vitamins............................

3. On December 31, 2022 —
How many women in the custody of your state-operated facilities were participating in a nursery
or residential program where mothers and infants co-reside?

4. Between January 1, 2022, and December 31, 2022 —
a. How many women were admitted to your state-operated correctional facilities? .......................................
b. Of the admissions reported in item 4a, how many were tested for pregnancy? .........................
1. How many tests were positive for pregnancy? ...............................................................................
Page 2
21

FOR TESTING PURPOSES ONLY
Please track how long it takes you to complete each item

5. On December 31, 2022 —
a. How many women in the custody of your state-operated correctional facilities were pregnant?..................
IF zero (0) SKIP  Q6

b. Of the pregnant women reported in item 5a, how many were –
White, not of Hispanic origin ....................................................................................................................
Black, not of Hispanic origin ...................................................................................................................
Hispanic or Latino ..................................................................................................................................
American Indian or Alaska Native, not of Hispanic origin ........................................................................
Asian, not of Hispanic origin ...................................................................................................................
Native Hawaiian or Other Pacific Islander, not of Hispanic origin ............................................................
Two or more races, not of Hispanic origin ..............................................................................................
Other racial category, not of Hispanic origin ............................................................................................
Unknown racial category, not of Hispanic origin ......................................................................................
TOTAL (Sum should equal item 5a TOTAL)
c. Of the pregnant women reported in item 5a, how many were determined by a health care professional to
have a high-risk pregnancy?.......................................................................................................................
High-risk pregnancy refers to a pregnancy that involves increased health risks for the mother, fetus, or both.
These pregnancies require close monitoring to reduce the chance of complications.

6. From January 1, 2022, to December 31, 2022, how many women in the custody of your
state-operated correctional facilities —
a. Gave birth to a live baby(ies) ..............................................................................................................
b. Experienced a miscarriage .................................................................................................................
c. Experienced a stillbirth .......................................................................................................................
d. Experienced an ectopic pregnancy ....................................................................................................
e. Experienced an abortion (exclude terminations from ectopic pregnancy) ...........................................

END OF SURVEY

22

Attachment E
NPS-MatHealth cognitive test interview script

23

NPS - Mat Health
Cognitive Testing Script
Thank you for taking time to speak with us today. During our call today, we would like to discuss your
experiences with recently completing a practice survey on reporting maternal health data. Specifically,
we’ll talk about the wording of the questions and response options, as well as the data you provided and
the burden of doing so. This will help us identify any issues related to comprehension or burden and
understand the overall feasibility of implementing this new maternal health addendum.
Is it ok if I record the interview today to help me with my analysis?
[If yes to above:] Now that we’re recording this virtual session, Do I have your consent to record?
First, I’d like to ask you some general questions.
 Are you the respondent to the Bureau of Justice Statistics National Prisoners Statistics (NPS-1B)
collection?
o

If yes, were you able to compile and provide these maternal health data or did someone
else compile these data for you?


o

If someone else compiled these data for you, should we go directly to that
person for the national implementation of this collection?
•

If yes, can you provide their contact information?

•

If no, should we send the request to you or someone else?

If no, do you know who provides the NPS-1B data requested by BJS?


If yes, did you coordinate the submission of these data with that person?

 How did you obtain the data provided on this practice survey (e.g., paper documents from file
room, previous prepared reports, interactive queries of a computer system/program (i.e., CMS
or EMR), a combination of these sources, or something else)?
o

If you used a combination of sources, did this affect your ability to provide information
for this survey? If so, how? [PROBE if needed: Did it increase the amount of time to
complete the survey? Was it burdensome?]

o

Some questions on the survey ask you to report data on persons in custody as of a
particular date. Does your system allow you to pull data as of a particular date?

o

Other questions on the survey ask you to report data on persons in custody for a onemonth period. Does your system allow you to pull data for one-month?

24

 How long did it take you to complete the entire survey (in hours and minutes)?
In the questionnaire we asked about maternal health practices and for inmate counts in state-operated
correctional facilities. In an earlier feasibility study, a general theme that emerged was that states do not
house pregnant women in private facilities.
 How many of your state-operated facilities house women?
 How many of your state-operated facilities house pregnant women? (Be sure to record the
names of each facility that houses pregnant women)
o Are any of these community-based facilities? (please note which ones are communitybased)
 Does your state house pregnant women in private facilities?
o If yes, were you able to exclude those pregnant women from the counts you provided?
o If yes, could you provide data on those pregnant women separately?

Now let’s focus on the maternal health items that we are considering incorporating into the
questionnaire. We will go through the questionnaire page by page, and I’ll ask you specific questions to
elicit feedback. Also, please bring up any issues related to data availability, burden related to gathering
the requested data, unclear instructions, or any other issues that would require you to “fit” your data
into the survey categories provided.

25

 Does it make sense to have the include/exclude criteria all on the first page or would it have been
more helpful for the criteria to appear within the survey?
 Did you understand the include/exclude criteria provided?
o If no, what was confusing?
*Please track how long it takes you to complete each item*
1. Does your Department of Corrections –

 About how many minutes did it take to complete this question?
 How difficult was it for you to answer yes or no to the questions above?
o [Probe: What steps on your end do you need to take to provide these data?]
*Please track how long it takes you to complete each item*
2. Do any of your state-operated facilities –

26

 About how many minutes did it take to complete this question?
 When you answered this question were you only thinking of your state-operated facilities that
house pregnant women?
 Did you understand that we are asking about practices and not necessarily policies? This
provides us with an understanding of what is being provided.
 Are there any terms used that you did not understand and think it would be beneficial to define?
 How did you interpret ‘routinely throughout pregnancy’ in 2d(ii)?
 How difficult was it for you to answer yes or no to the questions above?
o [Probe: What steps on your end do you need to take to provide these data?]
 Did you understand the skip logic at the end of this question?
*Please track how long it takes you to complete each item*
3. On December 31, 2022 –

 About how many minutes did it take to complete this question?
 How readily available is the information that is asked about on this item?

27

o

[Probe: Do the data currently reside in a computer system, a spreadsheet, or did you
have to retrieve the information from paper files?] [Probe: What steps on your end do
you need to take to provide these data?]

4. Between January 1, 2022, and December 31, 2022—

 About how many minutes did it take to complete these questions?
 [FOR STATES WITH UNIFIED SYSTEMS] Did you include all admissions to your state-operated
correctional facilities even women who are unsentenced?
 [FOR ALL OTHER STATES] Did you include all types of admissions to your state-operated
correctional facilities for any sentences or time served?
 The reference period in this question changes from a one-day count on December 31, 2022 in the
previous question to a one-year count from January 1, 2022-December 31, 2022. Did that cause
any confusion given Q3 was a one-day reference date? Please explain.
 How readily available is the information that is asked about in 4a?
o [Probe: Do the data currently reside in a computer system, a spreadsheet, or did you
have to retrieve the information from paper files?]
o [Probe: What steps on your end do you need to take to provide these data?]
 In 4b, did you understand that we wanted the number tested regardless if the test was part of
the intake process or at some other time since admission??
 How readily available is the information that is asked about in 4b and 4b1?
o
o

[Probe: Do the data currently reside in a computer system, a spreadsheet, or did you
have to retrieve the information from paper files?]
[Probe: What steps on your end do you need to take to provide these data?]

*Please track how long it takes you to complete each item*
5. On December 31, 2022 –

 About how many minutes did it take to complete this question?
 Did you exclude women under your jurisdiction serving time in local jails, held out-of-state, or in
private facilities?
 If said yes to housing pregnant women in private facilities—
o Could you tell us how many pregnant women are housed in private facilities?

28

 The reference period in this question changes from January 1, 2022-December 31, 2022 in the
previous question to a one-day count on December 31, 2022. Did that cause any confusion? If
yes, please explain.
 How readily available is the information that is asked about on this item?
o [Probe: Do the data currently reside in a computer system, a spreadsheet, or did you
have to retrieve the information from paper files?]
o [Probe: What steps on your end do you need to take to provide these data?]
 Did you understand the skip logic following this question?

 About how many minutes did it take to complete this question?
 How readily available is the information that is asked about on this item?
o [Probe: Do the data currently reside in a computer system, a spreadsheet, or did you
have to retrieve the information from paper files?] [Probe: What steps on your end do
you need to take to provide these data?]

 About how many minutes did it take to complete this question?
 Did you understand our definition of “high-risk pregnancy?”
 How readily available is the information that is asked about on this item?
o

[Probe: Do the data currently reside in a computer system, a spreadsheet, or did you
have to retrieve the information from paper files?] [Probe: What steps on your end do
you need to take to provide these data?]

29

*Please track how long it takes you to complete each item*
6. From January 1, 2022, to December 31, 2022, how many women in the custody of your stateoperated correctional facilities –

 About how many minutes did it take to complete this question?
 The reference period in this question changes from a one-day count on December 31, 2022 in the
previous question to a one-year count from January 1, 2022-December 31, 2022. Did that cause
any confusion? If yes, please explain.
 Did you include outcomes regardless of whether the event took place on or off facility grounds?
 How readily available is the information that is asked about on this item?
o [Probe: Do the data currently reside in a computer system, a spreadsheet, or did you
have to retrieve the information from paper files?] [Probe: What steps on your end do
you need to take to provide these data?]

END SURVEY
We are now finished with our review of the practice survey.
In closing we have just a few additional questions:
 Overall, what items/survey responses did you find most burdensome?
o

Probe: What made it burdensome?

 Do you have anything else you would like to add or any questions for us?
On behalf of BJS, I’d like to thank you for your participation. Your input is vital to the success of this data
collection.

30

Attachment F
60-day Federal Register Notice

31

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33

Attachment G
60-day public comment

34

From:
Sent: Wednesday, November 22, 2023 3:38 PM
To: Maruschak, Laura (OJP)
Subject: [EXTERNAL] Maternal Health Supplement--National Prisoner Statistics Program

Dear Laura,
Would it be possible to receive a copy of the instrument for this supplement? It sounds
extremely valuable.
Professor & Chancellor EDGES Fellow

Department of Sociology
4351 TAMU
2935 Research Parkway
College Station, TX 77843-4351
Chair, Children & Youth Section, American Sociological Association,
2023-2024

35

From:
Sent: Monday, November 20, 2023 2:56 PM
To: Maruschak, Laura (OJP)
Cc:
Subject: [EXTERNAL] Follow-Up to National Prisoner Statistics Program: Maternal Health Supplement
Hi, Ms. MaruschakI hope this email finds you well. My colleagues and I saw the upcoming proposed information collection
activity from BJS regarding maternal health (OMB Number 1121-0NEW) and are hoping to gather more
information if it’s available. Would it be possible to obtain a copy of the maternal health data survey
described in this notice?
Thank you in advance for any information you can provide and please don’t hesitate to let us know if we
can clarify this request further.
Best,

Policy Manager, National Policy
Start Early
33 W. Monroe St., Suite 1200 Chicago, IL
60603
StartEarly.org

36

From:
Sent: Monday, January 22, 2024 5:11 PM
To: Maruschak, Laura (OJP)
Subject: [EXTERNAL] Agency Information Collection Activities; Proposed eCollection eComments
Requested; New Collection; National Prisoner Statistics Program: Maternal Health Supplement (OMB
Number 1121-0NEW)
Ms. Maruschak,
I hope you are well. My name is Le’Andre Blakeney. My organization intended to submit a formal
comment to the Department of Justice regarding the Maternal Health Supplement. When trying to
submit a comment, your information was given instead. I wanted to send you a copy of our comment,
and if I have to submit it formally, please let me know.
Thank you,

Program Associate, National Policy Team
Start Early
33 W. Monroe St., Suite 1200 Chicago, IL 60603
StartEarly.org

37

OMB Number 1121-0NEW

January 22, 2024
Bureau of Jus�ce Sta�s�cs
U.S. Department of Jus�ce
810 Seventh Street NW, Washington, DC 20531
RE: Agency Informa�on Collec�on Ac�vi�es; Proposed eCollec�on eComments Requested; New
Collec�on; Na�onal Prisoner Sta�s�cs Program: Maternal Health Supplement (OMB Number
1121-0NEW)
Dear Ms. Maruschak,
Start Early appreciates the opportunity to comment on the Bureau of Jus�ce Sta�s�cs’ (BJS’s)
informa�on collec�on on the Maternal Health Supplement to the Na�onal Prisoner Sta�s�cs
Program. We applaud BJS’s effort to collect this important informa�on about the health, wellbeing, and outcomes of pregnant people who are incarcerated in federal prisons. Below we
offer several addi�onal pieces of data for your considera�on based on our experience providing
doula services to pregnant people in the Cook County Department of Correc�ons facili�es.
About Start Early  
Start Early (formerly the Ounce of Prevention Fund), through the Home Visiting and Doula
Network, has partnered with the Cook County Sheriff’s Office and six community-based
organizations, with whom they have a well-established relationship, to deliver Doula and home
visiting services to expectant mothers who are involved in the criminal justice system
(incarcerated, on electronic monitoring or recently discharged). Participation in services is
entirely voluntary and mothers may choose to receive one or both of these services. Ideally,
participating mothers will enroll in both services. We hope that by beginning these services
while the women are incarcerated/on electronic monitoring, and continuing to support
mothers after they have been released, we can improve the parent-child relationship and the
developmental trajectories of the children who are immersed in a highly vulnerable and at-risk
environment. Additionally, we hope to identify systemic and policy issues that need to be
addressed on a larger scale while also collecting data that can inform current home visiting
models for future adaptations to the population’s needs.
Feedback on the proposed informa�on collec�on
Sec�on 1, ques�on (b) of the MatHealth survey asks about pre-exis�ng arrangements of
transporta�on in the case of a pregnancy emergency or labor. We recommend that the survey
includes a ques�on asking if they are shackled at any point while in transport or if anyone is
allowed to accompany them. We also recommend asking if any support is allowed in the

38

OMB Number 1121-0NEW

delivery room, par�cularly doulas and other non-medical staff, and a�er birth, considering there
is no ques�on inquiring about how long the mother can stay with the baby at the hospital.
In sec�on 2, ques�ons (g) and (h), when the survey screens for depression during pregnancy
and postpartum, that ques�on can be framed differently. Instead, we recommend that you
include in the survey a ques�on asking if the facility screens for all Perinatal Mood and Anxiety
Disorders (PMAD), thus combining the two ques�ons into one. Also, within the same sec�on,
ques�on (i), when asked if the mother can provide breast milk to maintain supply for the child
or the caregiver, supplementary ques�ons (framed as “yes or no”) on how breast milk is stored,
transported, or if the facility has any partnerships with any lacta�on programs, will be helpful to
understand. Moreover, to further apprehend how the nursery or residen�al program func�ons,
ques�on (k) could encompass queries such as eligibility requirements and dura�on of stay.
Furthermore, ques�on (d) (iii) asks if appointments are scheduled three weeks a�er birth.
Although this is sufficient for the first check-up, it is recommended by the American College of
Obstetricians and Gynecologists (ACOG) that there should be mul�ple check-ups up to twelve
weeks postpartum. We recommend you include in the survey a ques�on asking if there are any
requests for a process to receive medical and mental health services, especially for situa�ons
where miscarriages occur. Adverse prenatal outcomes are not addressed in the survey. That
ques�on can account for pre-term births, pre-eclampsia, and admissions to NICU.
Conclusion
In conclusion, the incorpora�on of the aforemen�oned sugges�ons can lead to a survey with
more u�lity and clarity. The Department of Jus�ce could propose that this collec�on be
mandatory for all prisons annually. This will allow for a robust dataset and the observa�on of
ongoing trends in the popula�on. We recognize that addi�onal ques�ons will require more staff
�me to complete the survey; however, we feel it would improve quality and maximize u�lity. In
addi�on, the dataset can be made publicly available to researchers, county jails, and state
prisons to inform policy gaps.

Sincerely,
Senior Vice President, National
Policy, Start Early

39

From:
Sent: Monday, January 8, 2024 1:30 PM
To: Maruschak, Laura (OJP)
Subject: [EXTERNAL] Comment on FRN: Proposed NPS Maternal Health Supplement
Good afternoon,
Please find attached a comment from the Prison Policy Initiative regarding the recent Federal Register
Notice and the BJS' forthcoming data supplement to the NPS. If there is a better place to send this,
please let me know.
Thanks for your consideration!
Research Analyst, Prison Policy Initiative
www.prisonpolicy.org | Do you receive our newsletters?

40

PR ISON
POLICY INITIATIVE

January 8, 2024
Laura Maruschak, Statistician
Bureau of Justice Statistics
810 Seventh Street NW
Washington DC 20531
[email protected]

RE: OMB Number 1121-0NEW, FR Doc. 2023-25644, National Prisoner Statistics
Program: Maternal Health Supplement (November 21, 2023)

Dear Ms. Maruschak,
Thank you for the opportunity to comment on FR Doc. 2023-25644, the proposed
New Collection request to the Office of Management and Budget (OMB). I represent
the Prison Policy Initiative, a non-profit, non-partisan research and advocacy
organization focused on topics related to incarceration and the criminal legal system.
We are grateful to the Bureau of Justice Statistics for its thorough data collection and
frequent reporting on topics of great interest to us, including data from the National
Prisoner Statistics (NPS) program. To that end, myself and other researchers at Prison
Policy Initiative are invested in the scale and scope of data collection regarding
incarcerated populations.
We support the proposed Maternal Health Supplement (“NPS-MatHealth survey") to
the NPS program. There have long existed data gaps on maternal health and
incarceration, even though research suggests that incarceration may have an impact on
pregnancy, pregnancy outcomes, and the physical and mental health of pregnant
people. As you are probably aware, little is known about how many pregnant people
are admitted to or released from correctional facilities each year, let alone the pre- and
post-natal care, pregnancy outcomes, and any other health conditions experienced by
incarcerated women while in custody.1
Our comment centers on suggestions regarding the types of data collected through the
proposed NPS-MatHealth survey. Some of our suggestions stem from questions that
remain after reading through the Federal Register Notice 2023-25644.

1

See Jennifer Bronson & Carolyn Sufrin, Pregnant Women in Prison and Jail Don’t Count:
Data Gaps on Maternal Health and Incarceration (2019), available at
https://journals.sagepub.com/doi/10.1177/0033354918812088.
41

1. We suggest ensuring the following pregnancy outcomes are included in
survey questions about “the number of pregnancy outcomes by outcome
type”: Live births; miscarriages; abortions; stillbirths; preterm (24 to 36
weeks) and early preterm (20 to 23 weeks, 6 days) births; cesarean deliveries;
ectopic pregnancies; instances of low birthweight; neonatal deaths (newborn
death within the first 28 days of life); maternal deaths. Although the Centers
for Disease Control and Prevention (CDC) regularly collects these data for the
US population based on birth and death records,2 they do not track the
incarceration status of people attached to such outcomes.
Additionally, we suggest the following information be collected regarding
pregnancy outcomes:
a. Pregnancy outcomes by location (e.g. in an off-site medical facility;
an on-site medical area, or an on-site non-medical area, such as a cell
or common area);
b. Pregnancy outcomes by race/Hispanic origin;
2. We suggest ensuring the following are included in survey questions about
“maternal health services and accommodations among state DOCs and the
BOP”:
a. The number of pregnant people between January 1 and December 31,
2023, whom:
i. Have received an obstetric exam;
ii. Are receiving a special diet or supplemental nutrition tailored
to the needs of a pregnant person;
iii. Have been diagnosed with opioid use disorder (OUD), and
the number who are receiving treatment for a diagnosed OUD
b. The number of jurisdictions (among 51 respondents) on December 31,
2023, which:
i. Provided screening for high-risk pregnancies and/or risk
factors for a high-risk pregnancy, based on maternal or fetal
risk factors;
ii. Allowed lactation (expressing human milk either through
breastfeeding or pumping) for people in custody with infants;
iii. Maintain a department-wide policy on pregnancy nutrition
standards;
iv. Maintain a department-wide policy regarding abortion;
v. Maintain a department-wide policy regarding contraception
(both reversible and permanent);
3. Finally, we suggest the following metrics be collected through the survey:

2

See Centers for Disease Control and Prevention, National Vital Statistics System, Birth Data,
available at https://www.cdc.gov/nchs/nvss/births.htm.
42
41

a. The number of admissions of pregnant people between January 1 and
December 31, 2023, by age or age group;
b. The number of releases of pregnant people (i.e., those without a
pregnancy outcome) between January 1 and December 31, 2023;
c. The most serious offense for which pregnant people on December 31,
2023 are incarcerated;
d. Time served by pregnant people incarcerated on December 31, 2023.
We urge the Bureau of Justice Statistics to examine the scope of the NPS-MatHealth
survey. Given that respondents will already be devoting some time to completing the
survey and accessing maternal health data, we do not feel the additional time or cost
burden is significant. Thank you for providing the opportunity to present this
comment.

Sincerely,

Research Analyst
Prison Policy Initiative

43

Attachment H
30-day Federal Register Notice

44

lotter on DSK11XQN23PROD with NOTICES1

Federal Register / Vol. 89, No. 24 / Monday, February 5, 2024 / Notices
Register pursuant to section 6(b) of the
Act on October 6, 2023 (88 FR 69671).

section 6(b) of the Act on September 26,
2023 (88 FR 66058).

Suzanne Morris,
Deputy Director Civil Enforcement
Operations, Antitrust Division.

Suzanne Morris,
Deputy Director Civil Enforcement
Operations, Antitrust Division.

[FR Doc. 2024–02224 Filed 2–2–24; 8:45 am]

[FR Doc. 2024–02221 Filed 2–2–24; 8:45 am]

BILLING CODE P

BILLING CODE P

DEPARTMENT OF JUSTICE

DEPARTMENT OF JUSTICE

Antitrust Division

Antitrust Division

Notice Pursuant to the National
Cooperative Research and Production
Act of 1993—Pistoia Alliance, Inc.

Notice Pursuant to the National
Cooperative Research and Production
Act of 1993—OpenJS Foundation

Notice is hereby given that, on
October 4, 2023, pursuant to section 6(a)
of the National Cooperative Research
and Production Act of 1993, 15 U.S.C.
4301 et seq. (the ‘‘Act’’), Pistoia
Alliance, Inc. filed written notifications
simultaneously with the Attorney
General and the Federal Trade
Commission disclosing changes in its
membership. The notifications were
filed for the purpose of extending the
Act’s provisions limiting the recovery of
antitrust plaintiffs to actual damages
under specified circumstances.
Specifically, ISOMETRICA, Calne,
UNITED KINGDOM; GO FAIR
Foundation, Leiden, NETHERLANDS;
IQD (AURP), College Park, MD; and
Patrick Pijanowski (individual member),
Greenwood, MO; have been added as
parties to this venture.
Also, Zapata Computing Inc.,
Cambridge, MA; Kalleid, Cambridge,
MA; BLS Group, Cormano, ITALY; and
Kvantify, Copenhagen, DENMARK have
withdrawn as parties to this venture.
No other changes have been made in
either the membership or planned
activity of the group research project.
Membership in this group research
project remains open, and Pistoia
Alliance, Inc. intends to file additional
written notifications disclosing all
changes in membership.
On May 28, 2009, Pistoia Alliance,
Inc. filed its original notification
pursuant to section 6(a) of the Act. The
Department of Justice published a notice
in the Federal Register pursuant to
section 6(b) of the Act on July 15, 2009
(74 FR 34364).
The last notification was filed with
the Department on July 7, 2023. The
Department of Justice published a notice
in the Federal Register pursuant to

Notice is hereby given that, on
December 20, 2023, pursuant to section
6(a) of the National Cooperative
Research and Production Act of 1993,
15 U.S.C. 4301 et seq. (‘‘the Act’’),
OpenJS Foundation has filed written
notifications simultaneously with the
Attorney General and the Federal Trade
Commission disclosing changes in its
membership. The notifications were
filed for the purpose of extending the
Act’s provisions limiting the recovery of
antitrust plaintiffs to actual damages
under specified circumstances.
Specifically, Tafsol Technologies,
Karachi, PAKISTAN, has been added as
a party to this venture.
Also, FlowForge has changed its name
to FlowFuse, San Francisco, CA.
No other changes have been made in
either the membership or planned
activity of the group research project.
Membership in this group research
project remains open, and OpenJS
Foundation intends to file additional
written notifications disclosing all
changes in membership.
On August 17, 2015, OpenJS
Foundation filed its original notification
pursuant to section 6(a) of the Act. The
Department of Justice published a notice
in the Federal Register pursuant to
section 6(b) of the Act on September 28,
2015 (80 FR 58297).
The last notification was filed with
the Department on July 27, 2023. A
notice was published in the Federal
Register pursuant to section 6(b) of the
Act on October 6, 2023 (88 FR 69670).

VerDate Sep<11>2014

17:56 Feb 02, 2024

Jkt 262001

7731

DEPARTMENT OF JUSTICE
Antitrust Division
Notice Pursuant to the National
Cooperative Research and Production
Act of 1993—Rust Foundation
Notice is hereby given that, on
December 15, 2023, pursuant to section
6(a) of the National Cooperative
Research and Production Act of 1993,
15 U.S.C. 4301 et seq. (‘‘the Act’’), Rust
Foundation has filed written
notifications simultaneously with the
Attorney General and the Federal Trade
Commission disclosing changes in its
membership. The notifications were
filed for the purpose of extending the
Act’s provisions limiting the recovery of
antitrust plaintiffs to actual damages
under specified circumstances.
Specifically, Lynx Software
Technologies, San Jose, CA; and
xFusion Digital Technologies Co., Ltd.,
Zhengzhou City, PEOPLE’S REPUBLIC
OF CHINA, have been added as parties
to this venture.
No other changes have been made in
either the membership or planned
activity of the group research project.
Membership in this group research
project remains open, and Rust
Foundation intends to file additional
written notifications disclosing all
changes in membership.
On April 14, 2022, Rust Foundation
filed its original notification pursuant to
section 6(a) of the Act. The Department
of Justice published a notice in the
Federal Register pursuant to section
6(b) of the Act on May 13, 2022 (87 FR
29384).
The last notification was filed with
the Department on October 3, 2023. A
notice was published in the Federal
Register pursuant to section 6(b) of the
Act on December 15, 2023 (88 FR
86935).
Suzanne Morris,
Deputy Director Civil Enforcement
Operations, Antitrust Division.
[FR Doc. 2024–02218 Filed 2–2–24; 8:45 am]
BILLING CODE P

DEPARTMENT OF JUSTICE
[OMB Number 1121–0NEW]

[FR Doc. 2024–02225 Filed 2–2–24; 8:45 am]

Agency Information Collection
Activities; Proposed eCollection
eComments Requested; National
Prisoner Statistics Program: Maternal
Health Supplement

BILLING CODE P

AGENCY:

Suzanne Morris,
Deputy Director Civil Enforcement
Operations, Antitrust Division.

PO 00000

Frm 00050

Bureau of Justice Statistics,
Department of Justice.
ACTION: 30-Day notice.

Fmt 4703

Sfmt 4703

E:\FR\FM\05FEN1.SGM

05FEN1

7732

Federal Register / Vol. 89, No. 24 / Monday, February 5, 2024 / Notices

The Bureau of Justice
Statistics, Department of Justice (DOJ),
will be submitting the following
information collection request to the
Office of Management and Budget
(OMB) for review and approval in
accordance with the Paperwork
Reduction Act of 1995. The proposed
information collection was previously
published in the Federal Register, on
November 11, 2023, allowing a 60-day
comment period.
DATES: Comments are encouraged and
will be accepted for 30 days until March
6, 2024.
FOR FURTHER INFORMATION CONTACT: If
you have comments especially on the
estimated public burden or associated
response time, suggestions, or need a
copy of the proposed information
collection instrument with instructions
or additional information, please
contact: Laura Maruschak, Statistician,
Bureau of Justice Statistics, 810 Seventh
Street NW, Washington, DC 20531
(email: [email protected];
telephone: 202–598–0802).
SUPPLEMENTARY INFORMATION: Written
comments and suggestions from the
public and affected agencies concerning
the proposed collection of information
are encouraged. Your comments should
address one or more of the following
four points:
—Evaluate whether the proposed
collection of information is necessary
for the proper performance of the
functions of the agency, including
whether the information will have
practical utility;
—Evaluate the accuracy of the agency’s
estimate of the burden of the
proposed collection of information,
including the validity of the
methodology and assumptions used;
—Enhance the quality, utility, and
clarity of the information to be
collected; and/or
—Minimize the burden of the collection
of information on those who are to
respond, including through the use of
appropriate automated, electronic,
mechanical, or other technological
collection techniques or other forms
of information technology, e.g.,
permitting electronic submission of
responses.

lotter on DSK11XQN23PROD with NOTICES1

SUMMARY:

Written comments and
recommendations for this information
collection should be submitted within
30 days of the publication of this notice
on the following website
www.reginfo.gov/public/do/PRAMain.
Find this particular information
collection by selecting ‘‘Currently under
30-day Review—Open for Public
Comments’’ or by using the search

VerDate Sep<11>2014

17:56 Feb 02, 2024

Jkt 262001

function and entering the title of the
information collection. This information
collection request may be viewed at
www.reginfo.gov. Follow the
instructions to view Department of
Justice, information collections
currently under review by OMB.
DOJ seeks PRA authorization for this
information collection for three (3)
years. OMB authorization for an ICR
cannot be for more than three (3) years
without renewal. The DOJ notes that
information collection requirements
submitted to the OMB for existing ICRs
receive a month-to-month extension
while they undergo review.
Overview of This Information
Collection
1. Type of Information Collection:
New collection.
2. Title of the Form/Collection:
National Prisoner Statistics program:
Maternal Health Supplement (NPSMatHealth).
3. Agency form number, if any, and
the applicable component of the
Department of Justice sponsoring the
collection: NPS-MatHealth/Bureau of
Justice Statistics.
4. Affected public who will be asked
or required to respond, as well as a brief
abstract:
Affected Public: State and Federal
Government.
Abstract: In fiscal year 2021, the
United States House Committee on
Appropriations directed that BJS
include statistics in its data collections
that relate to the health needs of
incarcerated pregnant women in the
criminal justice system, including, but
not limited to, the number of pregnant
women in custody, outcomes of
pregnancies, the provision of pregnancy
care and services, health status of
pregnant women, and racial and ethnic
disparities in maternal health, at the
Federal, State, Tribal, and local levels.
To address the directive at the State and
Federal level, BJS developed the NPSMatHealth survey, a 1-time supplement
to the National Prisoners Statistics
program. The survey will request
information on maternal health and
pregnancy outcomes between January 1,
2023 and December 31, 2023, including
provide the annual count of female
admissions to prison tested for
pregnancy, the number of those tests
that were positive, and the number of
pregnancy outcomes by outcome type.
Additionally, the data collected will
capture maternal health services and
accommodations among State DOCs and
the BOP and provide a 1-day count
(December 31, 2023) of pregnant women
by race/Hispanic origin, and the number
of women residing in a nursery or

PO 00000

Frm 00051

Fmt 4703

Sfmt 4703

residential program in which the infant
resides with the mother.
5. Obligation to Respond: Voluntary.
6. Total Estimated Number of
Respondents: 51.
7. Estimated Time per Respondent:
2.5 hours.
8. Frequency: One-time.
9. Total Estimated Annual Time
Burden: 126 hours.
10. Total Estimated Annual Other
Costs Burden: $4,851.
If additional information is required,
contact: Darwin Arceo, Department
Clearance Officer, Policy and Planning
Staff, Justice Management Division,
United States Department of Justice,
Two Constitution Square, 145 N Street
NE, 4W–218, Washington, DC 20530.
Dated: January 31, 2024.
John R. Carlson,
Department Clearance Officer for PRA, U.S.
Department of Justice.
[FR Doc. 2024–02213 Filed 2–2–24; 8:45 am]
BILLING CODE 4410–18–P

DEPARTMENT OF LABOR
Employee Benefits Security
Administration
Agency Information Collection
Activities; Request for Public
Comment
Employee Benefits Security
Administration (EBSA), Department of
Labor.
ACTION: Notice.
AGENCY:

The Department of Labor (the
Department), in accordance with the
Paperwork Reduction Act, provides the
general public and Federal agencies
with an opportunity to comment on
proposed and continuing collections of
information. This helps the Department
assess the impact of its information
collection requirements and minimize
the public’s reporting burden. It also
helps the public understand the
Department’s information collection
requirements and provide the requested
data in the desired format. The
Employee Benefits Security
Administration (EBSA) is soliciting
comments on the proposed extension of
the information collection requests
(ICRs) contained in the documents
described below. A copy of the ICRs
may be obtained by contacting the office
listed in the ADDRESSES section of this
notice. ICRs also are available at
reginfo.gov (http://www.reginfo.gov/
public/do/PRAMain).
DATES: Written comments must be
submitted to the office shown in the
SUMMARY:

E:\FR\FM\05FEN1.SGM

05FEN1

Attachment I
Survey invitation letter

45

<>
<>
<>
<>
<>
<>
Dear <>:
I am writing to request your participation in a special Bureau of Justice Statistics (BJS) data collection on
maternal health. Through its National Prisoner Statistics (NPS-1B) collection, BJS tracks the size and
composition of the state and federal prison populations and views this collection as an ideal means to
obtain system-level data on the prevalence and incidence of pregnancy, pregnancy outcomes, and the
provision of maternal health services and accommodations. BJS is administering a supplement to its NPS1B survey respondents to obtain this information.
The National Prisoner Statistics program – Maternal Health (NPS-MatHealth) survey asks questions
about your jurisdiction’s practices related to health services and accommodations provided to pregnant
women, the number of female admissions being tested for pregnancy, the number of positive pregnancy
tests among those tested, a 1-day count of pregnant females in your custody, number of pregnancy
outcomes by type over a 1-year period, and, if available, the number of women participating in a nursery
or residential program with their infant. These statistics will fill an existing gap in information on
maternal health among incarcerated women.
BJS will publish national- and state-level summary counts from the data collected. I request your agency’s
support in providing BJS these data, if possible, by June 14, 2024. Without your assistance, BJS would
not be able to provide comprehensive and accurate statistics on maternal health among those in state and
federal prison.
All data collected under BJS’s authority are protected under the confidentiality provisions of 34
U.S.C. § 10132, and any person who violates these provisions may be punished by a fine up to
$10,000, in addition to any other penalties imposed by law. For more information on the federal statutes,
regulations, and other authorities that govern how BJS, BJS employees, and data collection agents use,
handle, and protect your information, see the BJS Data Protection Guidelines at
https://www.bjs.gov/content/pub/pdf/BJS_Data_Protection_Guidelines.pdf.
BJS is cc’ing your agency’s NPS-1B respondent <> on this request. If
BJS should direct this request to someone else, or you have any questions about the NPS-MatHealth
survey, please feel free to contact the BJS NPS-MatHealth project manager, Laura Maruschak at (202)
598-0802 or [email protected], or BJS’s data collection agent’s project director, Jennifer
Bronson of Abt Associates, at (301) 347-5647 or [email protected].
Sincerely,
Kevin M. Scott, Ph.D.
Acting Director, BJS
46

Attachment J
Reminder email

47

Subject: National Prisoner Statistics program – Maternal Health survey: Please Respond

Dear <> <>:
Our records show that as of June 3, 2024, your agency has not yet submitted Bureau of Justice Statistics
(BJS) National Prisoner Statistics program – Maternal Health (NPS-MatHealth) survey. As a reminder, we
are requesting that data be submitted by June 14, 2024. If you have already submitted your data, please
disregard this email.
I know that you have many responsibilities and priorities and truly appreciate your time and effort to
complete this survey. This data collection can partially fill the existing gap in information on maternal
health among incarcerated women. If you expect delays in your ability to complete the NPS-MatHealth,
please reach out to discuss options for reporting. You can contact Jennifer Bronson from Abt Associates
at [email protected] or 301-347-5647, or Laura Maruschak, the BJS project manager, at
[email protected] or 202-598-0802.
BJS thanks you in advance for your participation and look forward to our continued work together.
Sincerely,

Rich Kluckow, DSW
Chief, Corrections Statistics Unit
Bureau of Justice Statistics
U.S. Department of Justice
810 Seventh Street NW
Washington, DC 20531
Mobile 202.598.0597
[email protected]

48

Attachment K
Nonresponse follow-up email

49

To: «POC Email»
Subject: National Prisoners Statistics program – Maternal Health survey: Please Respond
Body of Email:
Dear <> <>:
Our records show that as of today, your agency has not yet submitted BJS’s National Prisoner Statistics
program – Maternal Health (NPS-MatHealth) survey. As a reminder, BJS requested that data be
submitted by June 14, 2024. If you have already submitted your data, please disregard this email.
I know that you have many responsibilities and receive numerous data requests, but your participation
is vital to the success of this collection. This data collection partially fills a gap in criminal justice
maternal health and pregnancy outcome statistics. If you need an extension for submitting data, please
respond to this email as soon as possible.
To submit your data, you can email the completed form to Jennifer Bronson at
[email protected], fax it to (617) 218-4500, or mail a copy of it through the US Postal
Service to:
Abt Associates
National Prisoner Statistics Survey
55 Wheeler Street
Cambridge, MA 02138
If you have any questions related to the survey, please don’t hesitate to contact Laura Maruschak, the
project manager at the Bureau of Justice Statistics, directly at [email protected].
Thank you for your participation and we look forward to our continued work together.
Sincerely,
Rich Kluckow, DSW
Chief, Corrections Statistics Unit
Bureau of Justice Statistics
U.S. Department of Justice
810 Seventh Street NW
Washington, DC 20531
Mobile 202.598.0597
[email protected]

50

Attachment L
Nonresponse telephone call script

51

[IF CALL RINGS TO A GATEKEEPER]
Hello, this is <> calling on behalf of the Bureau of Justice Statistics (BJS) in the U.S.
Department of Justice regarding the National Prisoners Statistics program - Maternal Health survey. I am
following up on the data collection invitation that was sent addressed to <>. May I speak
with <>?
[IF CALL REACHES POC]
Hello, this is <> calling on behalf of the Bureau of Justice Statistics in the U.S.
Department of Justice regarding the National Prisoners Statistics program — Maternal Health survey. A
few months ago, BJS sent an invitation to participate in this data collection. However, we are still
missing data from your agency for which you are the designated respondent. We did not hear back from
you, and I wanted to follow up to confirm that you received the invitation to participate.
[IF QUESTIONS ABOUT THE SURVEY]
-

The Maternal Health survey is a one-time supplement to the National Prisoners
Statistics, a data collection conducted annually by BJS.
The Maternal Health survey collects data on maternal health and pregnancy outcomes
in the prison setting.
This data collection fills a substantial gap in criminal justice maternal health and
pregnancy outcome statistics.
BJS will use the data collected only for research and statistical purposes.
The survey will take approximately 2 hours and 30 minutes to complete, including
gathering some of the information and numbers you might need to compile.

[IF RESPONDENT RECEIVED THE INVITATION]
[OFFER ASSISTANCE TO COMPLETE]
Is there anything I can do to assist you in completing the survey? I can provide you a paper
version of the survey for you to fill out and submit. I could record your answers now or
schedule a time to call you that would be most convenient. Partial item responses are
encouraged if you are unable to provide a response to every question.
[IF AGENCY SAYS THEY DO NOT INTEND TO RESPOND]
Thank you for letting us know. Would you be willing to share with us why you have chosen
not to participate?

[IF RESPONDENT DID NOT RECEIVE THE INVITATION]
Let me review the information we have on file for your agency. [REVIEW E-MAIL ADDRESS AND
MAILING ADDRESS.]
Ask for the POC’s preferred method of contact and offer to re-send the information.

52