OMB No. 0980-0229
Expiration Date: 05/31/00
SECTION 6. PERPETRATORS OF CHILD MALTREATMENT
| 6.1 | Perpetrators by Relationship to Child
Victim This section requests data on the relationship of each perpetrator to each child victim. Please explain if you do not count these relationships by victim. |
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| A. | Parents. Birth mother/father, adoptive mother/father, or stepmother/father of the child. | [ | ] |
| B. | Other Relatives or Household Members in a Caretaking Relationship. Relatives, guardians, household members, or paramours who have some responsibility for the care and supervision of the child. | [ | ] |
| C. | Foster Parents. Individuals licensed to provide a home for child victims, usually with the approval of the government. | [ | ] |
| D. | Residential Facility Staff. Employees of a public or private group residential facility, including emergency shelters, group homes, and institutions. | [ | ] |
| E. | Child Day Care Providers. Persons who work in a setting providing child day care services and who have temporary caretaker responsibility for the child, including day care center staff members, family day care providers, and baby sitters. | [ | ] |
| F. | Non-Caretakers. Persons who are not responsible for the care and supervision of the child, including school personnel, friends, neighbors, etc. | [ | ] |
| G. | Those with Unknown Relationships to Child Victim. Includes missing data. | [ | ] |
| TOTAL | [ | ] |
