Youth in Crisis Form_2021.2 - Updated - June 1, 2022

National Communication System for Runaway and Homeless Youth Data Collection

Youth in Crisis Form_2021.2 - Updated - June 1, 2022

OMB: 0970-0610

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Youth
Youth’s
Friend
Parent
Relative
Adult
Agency
Police
Probation
Officer
Other

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Under 12
12
13
14
15
16
17
18
19
20
21
Adult

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Female
Male
Transgender
Gender nonconforming
Unknown to Liner

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Asian
American Indian/Alaska
Native
Black/African American
Hispanic/Latino
Multi-Racial
Native Hawaiian/Pacific
Islander
White/Caucasian
Not Provided (declined)

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1-3 Days
4-6 Days
1-3 Weeks
1-2 Months
3-6 Months
6+ months
1 Year +

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Yes
No
Unknown to
Caller
Unknown to
Liner

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Yes
No
Unknown to
Caller
Unknown to
Liner

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1
2
3
4
5
6
7
8
9
10

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1
2
3
4
5
6
7
8
9
10

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Under 10
10
11
12
13
14
15
16
17
18
19
20
21

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Asian
American Indian/Alaska Native
Black/African American
Hispanic/Latino
Multi-Racial
Native Hawaiian/Pacific Islander
White/Caucasian
Not Provided (declined)

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Female
Male
Transgender
Gender non-conforming
Unknown to Liner

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List of the 50
states, District
of Columbia,
and US
territories

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Yes
No
Unknown to Caller
Unknown to Liner

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Internet
Law Enforcement
NRS Partner Organization
NRS Promotional Material
NRS Runaway Prevention
Curriculum
Phone Book/Directory
Service
Previous Call
Public Service
Announcement
Referred by Social Services
Agency
School
Word of Mouth

Detention/Police
Friend
Greyhound
Home
Other
Pimp/Dealer
Recent Acquaintance
Relative
School
Shelter
Street/Payphone
Unknown to Caller
Unknown to Liner
Work


File Typeapplication/pdf
AuthorSteven Barragan
File Modified2022-06-01
File Created2022-06-01

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