Information Collection

National Prisoner Statistics Program - Maternal Health Supplement

IC 264960 under ICR 202402-1121-001 · OMB 1121-0380.

Documents and Forms

Documents and forms in this information collection
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

IC Title:

Agency IC Tracking Number:

BJS

Is this a Common Form? No

IC Status: New

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	N/A	NPS-MatHealth instrument	Attachment A-NPS-MatHealth instrument.pdf		Yes	Yes	Fillable Fileable

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 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	51	51
Annual IC Time Burden (Hours)	126	126
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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.