CJ-43B CCF Community-Based Correctional Facilities

Census of State and Federal Adult Correctional Facilities

Attachment B - CJ-43B CCF community-based facility form

OMB: 1121-0147

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OMB No. 1121-xxxx: Approval Expires xx/xx/xxxx  

2024 CENSUS OF STATE AND FEDERAL ADULT
CORRECTIONAL FACILITIES
COMMUNITY-BASED CORRECTIONAL FACILITIES

Form CJ-43B

U.S. DEPARTMENT OF JUSTICE
BUREAU OF JUSTICE STATISTICS
AND ACTING AS COLLECTION AGENT:
RTI INTERNATIONAL

DATA SUPPLIED BY
Name

Title

Official
Address

Telephone

City

FAX

State

Zip

E-mail

GENERAL INFORMATION
Please complete this questionnaire before [DATE] using
one of the following methods:

FACILITY INFORMATION 
PLEASE PROVIDE FACILITY-IDENTIFYING INFORMATION
IN THIS SPACE:

Online: https://bjs-prisoncensus.org
Mail: [ADDRESS]
If you have any questions, contact the CCF Helpdesk at
1-877-254-1806 or [email protected].

FACILITY ELIGIBILITY
The census includes all correctional facilities administered by state departments of corrections (DOC) or the Federal
Bureau of Prisons (BOP) or operated by private companies contracted to primarily house inmates for state correctional
authorities or the BOP. These facilities are intended for adults but sometimes hold juveniles. For this data collection, each
individual correctional facility or unit holding inmates under your jurisdiction is included, even if that facility shares budget
or staff with other facilities.
The CJ-43B is intended to collect data on community-based correctional facilities administered by the state DOC or
operated by private companies contracted to primarily house inmates for state correctional authorities or the BOP.
As you complete the survey, please provide a response to each question:
 If the answer to a question is “none” or “zero”

Write “0” in the space provided.

 If an exact numeric answer is not available

Provide estimates, and mark X in the box beside each
number that is estimated.

 If an exact numeric answer is not available
and you cannot provide an estimate

Write “DK” (don’t know) in the space provided.

 If you do not know the answer to a question

Write “DK” (don’t know) in the space provided.

 If the question does not apply to your facility
or those you are reporting for

Write “NA” (not applicable) in the space provided.

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 45 minutes 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. 1121-xxxx, Washington, DC
20503.

 Section I — FACILITY CHARACTERISTICS

1. As of June 30, 2024, what were the functions of this facility? Mark (X) all that apply.
a. Facility functions
General adult population confinement
Alcohol/drug treatment confinement
Reception/diagnosis/classification
Medical treatment/hospitalization confinement
Mental health/psychiatric confinement
Community corrections/work release/prerelease
Boot camp
Primarily for persons returned to custody (e.g., parole violators)
Primarily for confinement of youthful offenders
Geriatric care
Other — Specify:
b. Which facility function selected in question 1a applies to the largest number of inmates?
Mark (X) only ONE box.
General adult population confinement
Alcohol/drug treatment confinement
Reception/diagnosis/classification
Medical treatment/hospitalization confinement
Mental health/psychiatric confinement
Community corrections/work release/prerelease
Boot camp
Primarily for persons returned to custody (e.g., parole violators)
Primarily for confinement of youthful offenders
Geriatric care
Other — Specify:
2. As of June 30, 2024, what percentage of the inmates in this facility were regularly permitted to leave the
facility unaccompanied to work release, study release, rehabilitation? Mark (X) only ONE box.
50% or more
Less than 50%
None

STOP

Please review your answers to Question 1b and Question 2.
• If you answered “Community corrections/work release/prerelease” to
Question 1b or “50% or more” to Question 2, please continue completing
this form.
• Otherwise, DO NOT complete this form. Please contact RTI at
1-877-254-1806 or [email protected] to receive the appropriate
form for this facility.

«AGENCY ID» 

3. Is this facility administratively linked to any other facility? Facilities that share budgets or
administrators are administratively linked.
Yes
No

a. What are the names of the facilities?
Go to
question 4

4. As of June 30, 2024, who operated this facility? Mark (X) only ONE box.
Federal authority
State authority
Local authority
Joint state and local authority
Private contractor
5. As of June 30, 2024, was this facility authorized to house — Mark (X) only ONE box.
Males only
Females only
Both males and females

 

Section II — INMATE COUNTS
6. On June 30, 2024, what was the total number of inmates in this facility?
• INCLUDE all inmates temporarily absent from this facility (e.g., for court appearances, brief furloughs, and
medical leave).
• EXCLUDE all inmates who were on escape or absent without leave (AWOL).
a. Males
b. Females
c. TOTAL (Sum of questions 6a and 6b)
7. On June 30, 2024, how many inmates in this facility were —
a. Males under age 18
b. Females under age 18
c. TOTAL (Sum of questions 7a and 7b)

«AGENCY ID» 

8. On June 30, 2024, how many inmates in this facility were —
a. White, not of Hispanic origin
b. Black or African American, not of Hispanic origin
c. Hispanic or Latino
d. American Indian/Alaska Native, not of Hispanic origin
e. Asian, not of Hispanic origin
f. Native Hawaiian or Other Pacific Islander, not of Hispanic origin
g. Two or more races, not of Hispanic origin
h. Additional categories in your information system —
Specify:
i. TOTAL (Sum of questions 8a to 8h should equal question 6c)
9. On June 30, 2024, how many inmates in this facility were —
a. U.S. citizens
b. Not U.S. citizens
c. Of unknown citizenship status
d. Total (Sum of questions 9a to 9c should equal question 6c)
10. On June 30, 2024, how many inmates in this facility were being held for —
a. Federal authorities
Number of inmates
If zero, skip to question 10b.
If greater than zero: Of all the inmates held for federal authorities, how many were held for —
1. Federal Bureau of Prisons
2. U.S. Immigration and Customs Enforcement (I.C.E.)
3. U.S. Marshals Service
4. Bureau of Indian Affairs
5. Other — Specify:
6. TOTAL (Sum of questions 10a1 to 10a5 should equal question 10a)

«AGENCY ID» 

b. State prison authorities
Number of inmates
If zero, skip to question 10c.
If greater than zero: Of all the inmates held for state prison authorities, how many were held for —
1. Your state
2. Some other state(s) — Specify states below:

3. TOTAL (Sum of questions 10b1 and 10b2 should equal
question 10b)
c. Local authorities
Number of inmates
d. Tribal authorities
Number of inmates
e. TOTAL (Sum of questions 10a to 10d
should equal 6c)
Number of inmates

Section III — FACILITY OPERATIONS AND SECURITY
11. Between July 1, 2023, and June 30, 2024, how many inmates walked away while on work detail, medical
appointment, court appearance, work release, or furlough and, as a consequence, were officially
recorded as AWOL?
• Walkaway prisoners leave custodial supervision outside a secure institution while on detail, during
transportation, medical visit, or court appearance and are recorded as AWOL. Inmates who return late from
furlough or other temporary release should be counted as walkaways, not escapees.
Number of walkaways

«AGENCY ID» 

 Section IV — FACILITY PROGRAMS
12. As of June 30, 2024, what types of counseling or special programs were available to inmates in this
facility?
• EXCLUDE formal education programs.
Mark (X) all that apply.
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 Alcohol dependency/counseling/awareness
 Psychological/psychiatric counseling
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 (PSOR\PHQWHJMREVHHNLQJDQGLQWHUYLHZLQJVNLOOV
 /LIHVNLOOVDQGFRPPXQLW\DGMXVWPHQWHJSHUVRQDOILQDQFHFRQIOLFWUHVROXWLRQ
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Victim services (provided to inmates who have been victims of crime prior to or during their incarceration)
Other — Specify:
None

13. As of June 30, 2024, what types of educational programs were available to inmates in this facility?
• INCLUDE only formal programs.
• EXCLUDE unscheduled activities and informal programs.
Mark (X) all that apply.
Literacy training or other lower basic adult education (ABE) — first- to fourth-grade level
Upper basic adult education — fifth- to eighth-grade level
Secondary education or High School Equivalency/GED
Special education (e.g., programs for inmates with learning disabilities)
English as a second language (ESL)
Vocational training (e.g., auto repair, drafting, and data processing)
College courses
Study release programs (i.e., release to community to attend school)
Other — Specify:
None

«AGENCY ID» 

   

Please use the following space to provide any comments to clarify any of your responses or describe any
challenges you had in providing a response.

 

«AGENCY ID» 


File Typeapplication/pdf
File TitleMicrosoft Word - 2019 CCF Survey (CJ-43B)_CBCF-v3
Authoreppsc
File Modified2024-05-14
File Created2019-07-18

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