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National Prisoner Statistics Program - Maternal Health Supplement
National Prisoner Statistics Program - Maternal Health Survey
OMB: 1121-0380
IC ID: 264960
OMB.report
DOJ/OJP
OMB 1121-0380
ICR 202402-1121-001
IC 264960
( )
Documents and Forms
Document Name
Document Type
National Prisoner Statistics Program - Maternal Health Supplement
Form and Instruction
NPS-MatHealth instrument
Attachment A-NPS-MatHealth instrument.pdf
Form and Instruction
NPS-MatHealth instrument
Attachment A-NPS-MatHealth instrument.pdf
Form and Instruction
NPS-MatHealth_Attachments.pdf
NPSMatHealth Attachments
IC Document
NPS-MatHealth_Attachments.pdf
NPSMatHealth Attachments
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
National Prisoner Statistics Program - Maternal Health Supplement
Agency IC Tracking Number:
BJS
Is this a Common Form?
No
IC Status:
New
Obligation to Respond:
Voluntary
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form and Instruction
N/A
NPS-MatHealth instrument
Attachment A-NPS-MatHealth instrument.pdf
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Correctional Activities
Subfunction:
Criminal Incarceration
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
51
Number of Respondents for Small Entity:
0
Affected Public:
State, Local, and Tribal Governments
Percentage of Respondents Reporting Electronically:
90 %
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
51
0
51
0
0
0
Annual IC Time Burden (Hours)
126
0
126
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
NPSMatHealth Attachments
NPS-MatHealth_Attachments.pdf
02/06/2024
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.