Information Collection

Annual Survey of Jails in Indian Country

IC 235684 under ICR 202304-1121-005 · OMB 1121-0364.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1121-0364 can be found here:

Documents and Forms

Document Name Document Type
Form CJ-5B Annual Survey of Jails in Indian Country Form and Instruction
CJ-5B 2019 Annual Survey of Jails in Indian Country (A) Survey form cj-5b_19.pdf Form and Instruction
CJ-5B 2019 Annual Survey of Jails in Indian Country (A) Survey form cj-5b_19.pdf Form and Instruction
CJ-5B Survey of Jails in Indian Country with COVID-19 addendum (A) Survey form cj-5b_2019-2021 REVISED.pdf Form and Instruction
CJ-5B Survey of Jails in Indian Country with COVID-19 addendum (A) Survey form cj-5b_2019-2021 REVISED.pdf Form and Instruction
(B) SJIC Contact Verification Script.pdf SJIC Contact Verification Script IC Document
(B) SJIC Contact Verification Script.pdf SJIC Contact Verification Script IC Document
(C) SJIC_SurveyInvitation.pdf SJIC Survey Invitation Letter IC Document
(C) SJIC_SurveyInvitation.pdf SJIC Survey Invitation Letter IC Document
(D) SJIC reminder.pdf SJIC follow-up reminder IC Document
(D) SJIC reminder.pdf SJIC follow-up reminder IC Document
(B) SJIC Contact Verification Script 2020_2021.docx Contact Verification Script IC Document
(B) SJIC Contact Verification Script 2020_2021.docx Contact Verification Script IC Document
(C) SJIC_SurveyInvitation 2020_2021.docx Survey Invitation IC Document
(C) SJIC_SurveyInvitation 2020_2021.docx Survey Invitation IC Document
(D) SJIC reminder.docx SJIC Reminder IC Document
(D) SJIC reminder.docx SJIC Reminder IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Annual Survey of Jails in Indian Country	Agency IC Tracking Number:	BJS

Is this a Common Form? No		IC Status: Removed

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 and Instruction	CJ-5B	2019 Annual Survey of Jails in Indian Country	(A) Survey form cj-5b_19.pdf		Yes	Yes	Fillable Fileable
Form and Instruction	CJ-5B	Survey of Jails in Indian Country with COVID-19 addendum	(A) Survey form cj-5b_2019-2021 REVISED.pdf		Yes	Yes	Fillable Fileable

Line of Business: Correctional Activities

Subfunction: Criminal Incarceration

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 84	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 40 %

	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	-84	84
Annual IC Time Burden (Hours)	-181	181
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
SJIC Contact Verification Script	(B) SJIC Contact Verification Script.pdf	04/16/2019
SJIC Survey Invitation Letter	(C) SJIC_SurveyInvitation.pdf	04/16/2019
SJIC follow-up reminder	(D) SJIC reminder.pdf	04/16/2019
Contact Verification Script	(B) SJIC Contact Verification Script 2020_2021.docx	04/24/2020
Survey Invitation	(C) SJIC_SurveyInvitation 2020_2021.docx	04/24/2020
SJIC Reminder	(D) SJIC reminder.docx	04/24/2020

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