Survey of Juveniles Charged in Adult Criminal Court

2014 Survey of Juveniles Charged in Adult Criminal Court (SJCACC)

SJCACC survey final

2014 Survey of Juveniles Charged in Adult Criminal Court

OMB: 1121-0349

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WESTAT
RW-2513
1600 Research Boulevard
Rockville, MD 20850-3129

RETURN
TO

OMB No. XXX-XXX: Approval Expires MM/DD/YYY

Survey of Juveniles Charged in Adult
Criminal court (SJCACC)

U.S. DEPARTMENT OF JUSTICE
BUREAU OF JUSTICE STATISTICS

PLEASE ENTER THE CONTACT INFORMATION FOR THE PERSON FILLING OUT THIS FORM
Name

Title

Address 1
Address 2
City

State

TELEPHONE

Area code

Number

Extension FAX
NUMBER

Zip code
Area code

Number

EMAIL
ADDRESS

INSTRUCTIONS

1. Enter the selected case ID from the cover letter CASE ID:
2. Complete this survey for each of the selected cases.
3. Use Hardcopy Survey Guide for instructions. Complete the questions in each of the sections, D, E, and F for each of
the selected charges.
4. If you have any questions, call the SJCACC Help Desk, Westat, at 1-XXX-XXX-XXXX, or email
XXXXXXX@westat.com.
5. Please complete the questionnaire before MM/DD/YYYY, by mailing the completed questionnaire to WESTAT at the
address 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 is estimated to average 2 hours per case, 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 aspect of this collection of
information, including suggestions for reducing this burden, to the Director, Bureau of Justice Statistics, 810 Seventh Street, NW,
Washington, DC 20531; and to the Office of Management and Budget, OMB No. XXXX-XXXX, Washington, DC 20503.

OFFENSE TYPE

A1.

What type(s) of offense(s) did this case involve? (Mark all that apply)
Felony offense
Misdemeanor offense (including minor possession of alcohol/tobacco)
Non-criminal offense (e.g., summary traffic, wildlife/fish and game)

If only “non-criminal offense” is marked, this case is not eligible to be included in the data. Please move on to the next case using
a clean copy of the questionnaire.
If “non-criminal offense” is checked in addition to “misdemeanor offense” or “felony offense”, do not report non-criminal charges
in the survey.

DEFENDANT INFORMATION

B1.

Defendant ID

B2.

Fingerprint-based ID (assigned by state criminal history repository)

B3.

What is the defendant’s date of birth?
/
MM

/
DD

Go to Question B4
YYYY

Don’t know
B3a. Date of birth (DOB) information cannot be provided for this defendant because
Our electronic data system does not record DOB
DOB is available to be reported but not for this case
Other (please specify):

B3b. How old was the defendant at
Time of offense ....

Don’t know

Arrest ...................

Don’t know

Arraignment .........

Don’t know

Conviction ............

Don’t know

Page 2

B4.

What is the defendant’s sex?
Male

Go to Question B5

Female

Go to Question B5

Don’t know

Continue

B4a. Information on sex cannot be provided for this defendant because
Our files do not record sex of defendant
Sex is available to be reported but not for this case
Other (please specify):

B5.

Is the defendant of Hispanic or Latino origin?
Yes

Go to Question B6

Don’t know

Continue

B5a. Ethnicity information cannot be provided for this defendant becauseOur files do not record ethnicity of defendant
Our files do not record Hispanic or Latino ethnicity separately from race
Ethnicity is available to be reported but not for this case
Other (please specify):

B6.

What is the defendant’s race? (Mark one or more)
American Indian or Alaska Native