Information Collection

Feasibility Study for the Correctional Officer Stressors and Suicide (COSS)

IC 268174 under ICR 202409-1121-002 · OMB 1121-0339.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1121-0339 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Feasibility Study for the Correctional Officer Stressors and Suicide (COSS)	Form and Instruction
COSS Interview Guide Correctional Officer Stressors and Suicide (COSS) Feasibility Study Interview Guide.pdf	Form and Instruction
1_COStressSuicide_OMB_memo_2024.docx COSS Memo to OMB	IC Document
COSS OMB Generic Attachments.pdf COSS Attachments	IC Document
Gen IC Template 1121-0339_COSSFS 2024.docx GEN IC template for COSS	IC Document

IC Title:

Feasibility Study for the Correctional Officer Stressors and Suicide (COSS)

Agency IC Tracking Number:

BJS

IC Status: Unchanged

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	COSS Interview Guide	Correctional Officer Stressors and Suicide (COSS) Feasibility Study Interview Guide.pdf		Yes	Yes	Fillable Fileable

Line of Business: Correctional Activities

Subfunction: Criminal Incarceration

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 80

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
	Requested	Previously Approved
Annual Number of Responses for this IC	80	80
Annual IC Time Burden (Hours)	60	60
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
COSS Memo to OMB	1_COStressSuicide_OMB_memo_2024.docx	05/31/2024
COSS Attachments	COSS OMB Generic Attachments.pdf	05/31/2024
GEN IC template for COSS	Gen IC Template 1121-0339_COSSFS 2024.docx	05/31/2024

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