Agency File Data Elements

OMB No. 0970-0424

Expiration Date: XX/XX/XXXX

Agency File Data Elements

Field Agency Summary Data Element Long Name (Short Name)
1. PREVENTION SERVICES
1.1.A-C	Children Funding Source: Child Abuse and Neglect State Grant (PSSTGTC)
1.1.A-F	Families Funding Source: Child Abuse and Neglect State Grant (PSSTGTF)
1.1.B-C	Children Funding Source: Community-Based Prevention of Child Abuse and Neglect Grant (PSCOSPC)
1.1.B-F	Families Funding Source: Community-Based Prevention of Child Abuse and Neglect Grant (PSCOSPF)
1.1.C-C	Children Funding Source: Promoting Safe and Stable Families Program (PSTLIVBC)
1.1.C-F	Families Funding Source: Promoting Safe and Stable Families Program (PSTLIVBF)
1.1.D-C	Children Funding Source: Social Services Block Grant (PSTLXXC)
1.1.D-F	Families Funding Source: Social Services Block Grant (PSTLXXF)
1.1.E-C	Children Funding Source: Other (PSOTHERC)
1.1.E-F	Families Funding Source: Other (PSOTHERF)
2. ADDITIONAL INFORMATION ON REFERRALS AND REPORTS
2.1.A	Number of Referrals Screened Out (SCRNRPT)
2.1.B	Number of Children Screened Out (SCRNCHLD)
2.2	Response Time with Respect to the Initial Investigation or Assessment (WKARTIME)
2.3	Number of Staff Responsible for CPS Functions (Screening, Intake, and Investigation/Assessment of Reports) During the Year (WKSIIA)
2.4	Number of Staff Responsible for the Screening and Intake of Reports During the Year (WKSI)
2.5	Referrals of Infants with Prenatal Substance Exposure by Health Care Providers Screened Out: Number of Infants (SCRNSUBEX)
3. ADDITIONAL INFORMATION ON CHILD VICTIMS REPORTED IN CHILD FILE
3.1	Child Victims (substantiated or indicated) Whose Families Received Family Preservation Services in the Previous Five Years (FPS5Y)
3.2	Child Victims (substantiated or indicated) Who Were Reunited with Their Families in the Previous Five Years (FRU5Y)
3.3	Average Number of Out-of-Court Contacts Between the Court-Appointed Representatives and the Child Victims (substantiated or indicated) They Represent
3.4	Child Victims (substantiated or indicated) Who Died as a Result of Maltreatment and Whose Families Had Received Family Preservation Services in the Previous
3.5	Child Victims (substantiated or indicated) Who Died as a Result of Maltreatment and Had Been Reunited with Their Families in the Previous Five Years
4. INFORMATION ON CHILD FATALITIES NOT REPORTED IN CHILD FILE
4.1	Child Maltreatment Fatalities Not Reported in the Child File (FATALITY)
4.2	Child Victims Who Died as a Result of Maltreatment While in Foster Care Not Reported in the Child File (FATALFC)
4.3	Child Victims Who Died as a Result of Maltreatment and Whose Families Had Received Family Preservation Services in the Previous Five Years Not Reported in
4.4	Child Victims Who Died as a Result of Maltreatment and Had Been Reunited with Their Families in the Previous Five Years Not Reported in the Child File
5. INFORMATION ON INDIVIDUALS WITH DISABILITIES EDUCATION ACT PART C
5.1	Child Victims (Substantiated or Indicated) Eligible for Referral-Individuals with Disabilities Education Act (IDEAELIG)
5.2	Child Victims (Substantiated or Indicated) Referred-Individuals with Disabilities Education Act (IDEAREF)