2024 Census of State and Federal Correctional Institutio

Attachment D: Facility Information Form

2024 Census of State and Federal Correctional Institutions
Facility Information Form
Facility Name
Physical Address
City

ST

Zip

ST

Zip

Mailing Address
City

1. Is this facility open or closed?

Open
Temporarily Closed
Permanently Closed
Don't Know
Additional explanation

2. Does this facility hold inmates for your state?

Yes
No
Don't Know
Additional explanation

3a. Is the primary function of this facility pre-release, work release, or
community corrections?

Yes
No
Don't Know
NA
Additional explanation

3b. Does this facility allow 50% or more of its inmates to leave the facility unaccompanied?

Yes
No
Don't Know
NA
Additional explanation

4. Is this facility operated by a DOC, a private company, or a local authority?

BOP
DOC
Private Operator
Joint State and Local Authority
Don't Know
Additional explanation

5. Who will provide the Census of State and Federal Adult Correctional Facilities (CCF) data for this facility?
Agency/Operator/Company Name
Contact Name
Email address

Phone