Information Collection

Cognitive Testing for the Survey of Prison Inmates Research and Development

IC 274646 under ICR 202411-1121-003 · 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⚠️ Notice: This information collection may be referencing outdated material.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
SPI R&D Cognitive Testing Protocol Cognitive Testing for the Survey of Prison Inmates Research and Development	Form and Instruction
SPI R&D Cognitive Testing Protocol Appendix 1_SPI RD Cognitive Protocol.docx	Form and Instruction
SPIRD Cognitive Test Generic Memo_3.31.2025.docx SPI R&D Cog Test Memo to OMB	IC Document
SPI RD cognitive_appendices.pdf SPI R&D Cog Test Appendices	IC Document
Gen IC Template 1121-0339_SPIRD_cog testing.docx GEN IC Template SPI R&D Cog Test	IC Document

IC Title:

Cognitive Testing for the Survey of Prison Inmates Research and Development

Agency IC Tracking Number:

BJS

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				Yes	Yes	Fillable Fileable

Line of Business: Correctional Activities

Subfunction: Criminal Incarceration

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 188

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 50 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	188	188
Annual IC Time Burden (Hours)	123	123
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
SPI R&D Cog Test Memo to OMB		05/06/2025
SPI R&D Cog Test Appendices		03/31/2025
GEN IC Template SPI R&D Cog Test		03/31/2025

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

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