Information Collection

Facility Survey

IC 207583 under ICR 201306-1121-004 · OMB 1121-0344.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1121-0344 can be found here:

Documents and Forms

Document Name Document Type
Facility Survey Form
officer Safety in Correctional Facilities--Facility Surv Attachment 1_Facility Survey.doc Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Facility Survey	Agency IC Tracking Number:	NIJ

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	none	officer Safety in Correctional Facilities--Facility Survey	Attachment 1_Facility Survey.doc		Yes	No	Fillable Printable

Line of Business: Correctional Activities

Subfunction: Criminal Incarceration

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 153	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 33 %

	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	153	153
Annual IC Time Burden (Hours)	77	77
Annual IC Cost Burden (Dollars)	8,963	8,963

Documents for IC

Title	Document	Date Uploaded
No associated records found

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