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OMB No. 0980-0229
Expiration Date: 05/31/00
SECTION 3. CHILDREN SUBJECT OF A REPORT REFERRED FOR INVESTIGATION OR ASSESSMENT
| 3.1 | Children Subject of a Report
Referred for CPS Investigation or Assessment
Enter the number of children who were in the reports counted in Item 2.1.B. |
[ | ] |
| 3.2 | Children Subject of a CPS
Investigation or Assessment by Disposition Pertaining to the
Child
Enter the number of children, by disposition, who were in the reports counted in Item 2.3. |
[ | ] |
| A. | Children for Whom the Allegation of Maltreatment or Risk of Maltreatment was Substantiated. Enter the number of children for whom the allegation of maltreatment or risk of maltreatment was supported or founded according to State law or State policy. | [ | ] |
| B. | Children for Whom the Allegation of Maltreatment Was Indicated. Enter the number of children for whom the allegation of maltreatment was indicated, or there was reason to suspect maltreatment, but it was unable to be founded under State law or State policy. NOTE: Use this category only if your State distinguishes between substantiated and indicated dispositions. If your State uses only "indicated," enter the number of indicated dispositions under A. | [ | ] |
| C. | Children for Whom the Allegation of Maltreatment Was Not substantiated. Enter the number of children for whom the alleged maltreatment was unfounded or unsubstantiated. | [ | ] |
| Children for Whom Not Substantiated
Allegations Were Determined to Be Intentionally False. This number is included in the above count of not substantiated children. |
[ | ] | |
| D. | Children Who Were Found to Be in
Need of Services.
Enter the number of children for whom the assessment resulted in a decision that the child is in need of services. NOTE: Use this category only if your State has a diversified response system (i.e., if the State allows assessments as well as investigations in response to a report). |
[ | ] |
| E. | Children for Whom the Investigation
Was Closed Without a Finding.
Enter the number of children for whom the investigation was concluded without a specific finding (e.g., family moved, investigation time exceeded that allowed, etc.). |
[ | ] |
| F. | Other Dispositions.
Enter the number of children for whom the investigation or assessment disposition is not included in the above categories. These may include children whose assessments determined that the family was not in need of services. Please provide a breakout of the categories reported in the comments section at the end of the form. |
[ | ] |
| G. | Unknown Dispositions. Enter here the number of children for whom dispositions were not recorded. | [ | ] |
| TOTAL | [ | ] |
| 3.3 | Children Who Received
Services
Enter the number of children by disposition who were opened for, or continued to receive, services other than CPS investigation or assessment. |
||
| A. | Substantiated | [ | ] |
| B. | Indicated | [ | ] |
| C. | Unsubstantiated | [ | ] |
| D. | In Need of Services | [ | ] |
| E. | No Finding | [ | ] |
| F. | Other | [ | ] |
| G. | Unknown | [ | ] |
| 3.4 | Children Who Did Not Receive
Services
Enter the number of children by disposition who did not receive any services in addition to CPS investigation or assessment, e.g., were closed after the investigation or assessment. |
||
| A. | Substantiated | [ | ] |
| B. | Indicated | [ | ] |
| C. | Unsubstantiated | [ | ] |
| D. | In Need of Services | [ | ] |
| E. | No Finding | [ | ] |
| F. | Other | [ | ] |
| G. | Unknown | [ | ] |
| 3.5 | Children Who Were Removed from the
Home
Enter the number of children by disposition who were removed from their home during or as an immediate result of a CPS investigation or assessment. |
||
| A. | Substantiated | [ | ] |
| B. | Indicated | [ | ] |
| C. | Unsubstantiated | [ | ] |
| D. | In Need of Services | [ | ] |
| E. | No Finding | [ | ] |
| F. | Other | [ | ] |
| G. | Unknown | [ | ] |