CJ-14 Census of Juveniles in Residential Placement (CJRP)

Census of Juveniles in Residential Placement (CJRP)

Attachment D— CJRP web reporting form screenshots

Census of Juveniles in Residential Placement (CJRP)

OMB: 1121-0218

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Log In Screen

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1

Facility Verification

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2

Dashboard

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3

Verification of Facility Name

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4

Verification of Mailing Address

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5

Verification of Physical Address

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6

Contact Information

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7

Dashboard after Status is Updated

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8

Question 1a

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Question 1b

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Question 2a

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Question 2b

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Question 3

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Question 4a

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Question 4b

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15

Question 5

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Question 6

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General Section 1 Instructions

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Questions 7a & 7b

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Question 7c

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Question 8

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Questions 9a & 9b

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Questions 9a & 9b

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Question 9c

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Questions 10a & 10b

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Questions 11a & 11b

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Question 12a

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Question 12b

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Question 13

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Question 14

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Question 15

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Question 16a

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Question 16b

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Questions 17 & 18a

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Questions 18b & 18c

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Question 19

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Question 20

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Issue Preview Page

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Section 2 General Instructions

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Section 2 Data

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Section 2 File Upload

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Section 2 Data Entry

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Section 2 Data Entry Continued

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Data Submission Page

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Thank You Screen

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Survey Closed Screen

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