OMB Control Number: 0970-0490
Expiration date: 03/31/2026
Instructions for Completing the Office of Refugee and Resettlement (ORR)/Unaccompanied Children Program; Home Study (HS) and Post Release (PRS) Grant Recipient Data Collection (Appendix B, Section B-01 – Program Indicators, Major Activities and Accomplishments)
Information in red text provides guidance for the completion of Appendix B, Section B-01 of the ACF-OGM-SF-PPR.
Home Study |
Quarter (1) Change each quarter |
Annual
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TVPRA |
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Number of Reports Approved for an Extension by ORR/Federal Field Specialist – This number should be the total number of new TVPRA home studies that were approved for an extension by ORR during the timeframe stated for the quarter. Add prior reporting period figure to this reporting period for the annual column (except for Q1). |
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Number of Addendum Reports Requested by ORR/ Federal Field Specialist – This number should be the total number of new addendum reports that were requested by ORR during the timeframe stated for the quarter. Add prior reporting period figure to this reporting period for the annual column (except for Q1).
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Number of Addendum Reports Requested by ORR/ Federal Field Specialist for Cases Served in Previous Budget Year - This number should be the total number of new addendum reports for cases served in the previous budget year that were requested by ORR during the timeframe stated for the quarter. Add prior reporting period figure to this reporting period for the annual column (except for Q1). |
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ORR Mandated |
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Number of Reports Approved for an Extension by ORR/Federal Field Specialist – This number should be the total number of new ORR Mandated home studies that were approved for an extension by ORR during the timeframe stated for the quarter. Add prior reporting period figure to this reporting period for the annual column (except for Q1). |
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Number of Addendum Reports Requested by ORR/ Federal Field Specialist – This number should be the total number of new ORR Mandated addendum reports that were requested by ORR during the timeframe stated for the quarter. Add prior reporting period figure to this reporting period for the annual column (except for Q1). |
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Number of Addendum Reports Requested by ORR/ Federal Field Specialist for Cases Served in Previous Budget Year - This number should be the total number of new addendum reports for cases served in the previous budget year that were requested by ORR during the timeframe stated for the quarter. Add prior reporting period figure to this reporting period for the annual column (except for Q1). |
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Discretionary |
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Number of Reports Approved for an Extension by ORR/Federal Field Specialist – This number should be the total number of new ORR Discretionary home studies that were approved for an extension by ORR during the timeframe stated for the quarter. Add prior reporting period figure to this reporting period for the annual column (except for Q1). |
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Number of Addendum Reports requested by ORR/ Federal Field Specialist – This number should be the total number of new ORR Discretionary addendum reports that were requested by ORR during the timeframe stated for the quarter. Add prior reporting period figure to this reporting period for the annual column (except for Q1). |
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Number of Addendum Reports requested by ORR/ Federal Field Specialist for Cases Served in Previous Budget Year - This number should be the total number of new addendum reports for cases served in the previous budget year that were requested by ORR during the timeframe stated for the quarter. Add prior reporting period figure to this reporting period for the annual column (except for Q1). |
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Total Number of Reports Cancelled by ORR/Federal Field Specialist –This number should be the total number of any new home study referrals accepted but were specifically cancelled by FFS during the timeframe stated for the quarter. Add prior reporting period figure to this reporting period for the annual column (except for Q1). |
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Total Number of Children Served through Home Studies - This number should be the total number of new cases of TVPRA, Mandatory, and Discretionary home studies accepted, minus the cancelled cases, during the timeframe stated for the quarter. Add prior reporting period figure to this reporting period for the annual column (except for Q1). |
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Post Release Services |
Quarter (1) |
Annual
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PRS Only |
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Number of Rollover Cases Being Served from Previous Budget Period - This number should be the total number of rollover PRS only cases from previous budget period. This number should only be counted once and be reported in the annual column. |
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Number of New Cases Accepted at Level 1 but changed to Level 2 PRS Levels – This number should be the total number of new PRS Only referrals accepted during the timeframe stated for the quarter at Level 1 but was changed to Level 2 following PRS comprehensive assessment. Add prior reporting period figure to this reporting period for the annual column (except for Q1). |
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Number of New Cases Accepted at Level 1 but changed to Level 3 – This number should be the total number of new PRS Only referrals accepted during the timeframe stated for the quarter at Level 1 but was changed to Level 3 following PRS comprehensive assessment. Add prior reporting period figure to this reporting period for the annual column (except for Q1). |
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Number of New Cases Accepted at Level 2 but changed to Level 1 – This number should be the total number of new PRS Only referrals accepted during the timeframe stated for the quarter at Level 2 but was changed to Level 1 following PRS comprehensive assessment. Add prior reporting period figure to this reporting period for the annual column (except for Q1). |
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Number of New Cases Accepted at Level 2 but changed to Level 3 – This number should be the total number of new PRS Only referrals accepted during the timeframe stated for the quarter at Level 2 but was changed to Level 3 following PRS comprehensive assessment. Add prior reporting period figure to this reporting period for the annual column (except for Q1). |
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Number of New Cases Accepted at Level 3 but changed to Level 2 – This number should be the total number of new PRS Only referrals accepted during the timeframe stated for the quarter at Level 3 but was changed to Level 2 following PRS comprehensive assessment. Add prior reporting period figure to this reporting period for the annual column (except for Q1). |
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Number of New Cases Accepted at Level 3 but changed to Level 1 – This number should be the total number of new PRS Only referrals accepted during the timeframe stated for the quarter at Level 3 but was changed to Level 1 following PRS comprehensive assessment. Add prior reporting period figure to this reporting period for the annual column (except for Q1). |
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PRS TVPRA |
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Number of Rollover Cases Being Served from Previous Budget Period Year - This number should be the total number of rollover PRS TVPRA cases from previous budget period. This number should only be counted once and be reported in the annual column. |
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Number of New Cases Accepted and Served at Level 1 – This number should be the total number of new PRS TVPRA referrals accepted during the timeframe stated for the quarter but served at level 1 due to limited capacity until higher PRS levels are available. Add prior reporting period figure to this reporting period for the annual column (except for Q1). |
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Number of New Cases Accepted at Level 2 but changed to Level 3 – This number should be the total number of new PRS TVPRA referrals accepted during the timeframe stated for the quarter at Level 2 but was changed to Level 3 following PRS comprehensive assessment. Add prior reporting period figure to this reporting period for the annual column (except for Q1). |
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Number of New Cases Accepted at Level 3 but changed to Level 2 – This number should be the total number of new PRS TVPRA referrals accepted during the timeframe stated for the quarter at Level 3 but was changed to Level 2 following PRS comprehensive assessment. Add prior reporting period figure to this reporting period for the annual column (except for Q1). |
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PRS After Discretionary Home Study |
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Number of Rollover Cases Being Served from Previous Budget Period - This number should be the total number of rollover PRS After Discretionary Home Study cases from previous budget period. This number should only be counted once and be reported in the annual column. |
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Number of New Cases Accepted at Level 2 but changed to Level 1 – This number should be the total number of new PRS After Discretionary Home Study referrals accepted during the timeframe stated for the quarter at Level 2 but was changed to Level 1 following PRS comprehensive assessment. Add prior reporting period figure to this reporting period for the annual column (except for Q1). |
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Number of New Cases Accepted at Level 2 but changed to Level 3 – This number should be the total number of new PRS After Discretionary Home Study referrals accepted during the timeframe stated for the quarter at Level 2 but was changed to Level 3 following PRS comprehensive assessment. Add prior reporting period figure to this reporting period for the annual column (except for Q1). |
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Number of New Cases Accepted at Level 3 but changed to Level 2 – This number should be the total number of new PRS After Discretionary Home Study referrals accepted during the timeframe stated for the quarter at Level 3 but was changed to Level 2 following PRS comprehensive assessment. Add prior reporting period figure to this reporting period for the annual column (except for Q1). |
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Number of New Cases Accepted at Level 3 but changed to Level 1 – This number should be the total number of new PRS After Discretionary Home Study referrals accepted during the timeframe stated for the quarter at Level 3 but was changed to Level 1 following PRS comprehensive assessment. Add prior reporting period figure to this reporting period for the annual column (except for Q1). |
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PRS After Mandated Home Study |
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Number of Rollover Cases Being Served from Previous Budget Period - This number should be the total number of rollover PRS After Mandated Home Study cases from previous budget period. This number should only be counted once and be reported in the annual column. |
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Number of New Cases Accepted at Level 2 but changed to Level 1 – This number should be the total number of new PRS After Mandated Home Study referrals accepted during the timeframe stated for the quarter at Level 2 but was changed to Level 1 following PRS comprehensive assessment. Add prior reporting period figure to this reporting period for the annual column (except for Q1). |
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Number of New Cases Accepted at Level 2 but changed to Level 3 – This number should be the total number of new PRS After Mandated Home Study referrals accepted during the timeframe stated for the quarter at Level 2 but was changed to Level 3 following PRS comprehensive assessment. Add prior reporting period figure to this reporting period for the annual column (except for Q1). |
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Number of New Cases Accepted at Level 3 but changed to Level 2 – This number should be the total number of new PRS After Mandated Home Study referrals accepted during the timeframe stated for the quarter at Level 3 but was changed to Level 2 following PRS comprehensive assessment. Add prior reporting period figure to this reporting period for the annual column (except for Q1). |
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Number of New Cases Accepted at Level 3 but changed to Level 1 – This number should be the total number of new PRS After Mandated Home Study referrals accepted during the timeframe stated for the quarter at Level 3 but was changed to Level 1 following PRS comprehensive assessment. Add prior reporting period figure to this reporting period for the annual column (except for Q1). |
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PRS After Notice of Concern (NOC) |
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Number of Rollover Cases Being Served from Previous Budget Period - This number should be the total number of rollover PRS After NOC cases from previous budget period. This number should only be counted once and be reported in the annual column. PRS After NOC is PRS following a reported NOC that requires a new referral for PRS, where the minor may have a closed PRS case or never had PRS but needing PRS due to the current reported concerns through NOC. |
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Number of New Cases Accepted at Level 1 but changed to Level 2 – This number should be the total number of new PRS After NOC referrals accepted during the timeframe stated for the quarter at Level 1 but was changed to Level 2 following PRS comprehensive assessment. Add prior reporting period figure to this reporting period for the annual column (except for Q1). |
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Number of New Cases Accepted at Level 1 but changed to Level 3 – This number should be the total number of new PRS After NOC referrals accepted during the timeframe stated for the quarter at Level 1 but was changed to Level 3 following PRS comprehensive assessment. Add prior reporting period figure to this reporting period for the annual column (except for Q1). |
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Number of New Cases Accepted at Level 2 but changed to Level 1 – This number should be the total number of new PRS After NOC referrals accepted during the timeframe stated for the quarter at Level 2 but was changed to Level 1 following PRS comprehensive assessment. Add prior reporting period figure to this reporting period for the annual column (except for Q1). |
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Number of New Cases Accepted at Level 2 but changed to Level 3 – This number should be the total number of new PRS After NOC referrals accepted during the timeframe stated for the quarter at Level 2 but was changed to Level 3 following PRS comprehensive assessment. Add prior reporting period figure to this reporting period for the annual column (except for Q1). |
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Number of New Cases Accepted at Level 3 but changed to Level 2 – This number should be the total number of new PRS After NOC referrals accepted during the timeframe stated for the quarter at Level 3 but was changed to Level 2 following PRS comprehensive assessment. Add prior reporting period figure to this reporting period for the annual column (except for Q1). |
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Number of New Cases Accepted at Level 3 but changed to Level 1 – This number should be the total number of new PRS After NOC referrals accepted during the timeframe stated for the quarter at Level 3 but was changed to Level 1 following PRS comprehensive assessment. Add prior reporting period figure to this reporting period for the annual column (except for Q1). |
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Total Number of Children Served for ALL Post Release Services - This number should be the total number of new cases of PRS Only, PRS TVPRA, PRS After Mandatory and Discretionary home studies, and PRS After NOC accepted, minus the cancelled cases, during the timeframe stated for the quarter. Add prior reporting period figure to this reporting period for the annual column (except for Q1). |
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Post Release Services |
Quarter 1 |
Annual |
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Reason for Closure |
1 |
2 |
3 |
4 |
5 |
1 |
2 |
3 |
4 |
5 |
1 = Reason for Closure for PRS ONLY |
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2 = Reason for Closure for PRS TVPRA |
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3 = Reason for Closure for PRS After Discretionary HS |
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4 = Reason for Closure for PRS After Mandated HS |
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5 = Reason for Closure for PRS After NOC |
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Child turned 18 – This number should be the total number of cases closed because the child turned 18-years-old during the timeframe stated for the quarter. Add prior reporting period figure to this reporting period for the annual column (except for Q1). |
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Legal Case Status Achieved – This number should be the total number of cases closed because the Child achieved some sort of legal status, for example, SIJ, Order of Removal or Voluntary Departure, during the timeframe stated for the quarter. Add prior reporting period figure to this reporting period for the annual column (except for Q1). |
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Category 1 Sponsor DECLINED Services – This number should be the total number of cases closed because the sponsor declined PRS services during the timeframe stated for the quarter. Add prior reporting period figure to this reporting period for the annual column (except for Q1). |
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Category 2A, 2B, or 3 Sponsor - Sponsor AND Child DECLINED Services - This number should be the total number of cases closed because Category 2A, 2B, or 3 Sponsor, BOTH sponsor AND child declined PRS services during the timeframe stated for the quarter. Add prior reporting period figure to this reporting period for the annual column (except for Q1). |
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PRS Assessment deemed services completed / no longer needed – This number should be the total number of cases closed because PRS provider no longer deemed services necessary for a variety of reasons during the timeframe stated for the quarter. Add prior reporting period figure to this reporting period for the annual column (except for Q1). |
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Unable to Contact Sponsor / Child – This number should be the total number of cases closed because of loss of contact or never able to establish contact during the timeframe stated for the quarter. Add prior reporting period figure to this reporting period for the annual column (except for Q1). |
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Transferred to another PRS Provider due to not having capacity to provide the needed service – This number should be the total number of cases closed because the Child moved out of the PRS provider service area(s) during the timeframe stated for the quarter. Add prior reporting period figure to this reporting period for the annual column (except for Q1). |
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Transferred to another PRS provider for better service coordination for children living in the same household/sibling group – This number should be the total number of cases closed during the timeframe stated for the quarter because of service coordination for children living in the same household or a sibling group that should be with another PRS provider due to already having an established PRS provider. Add prior reporting period figure to this reporting period for the annual column (except for Q1). |
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Child Ran Away– This number should be the total number of cases closed because the Child ran away and was never located during the timeframe stated for the quarter. Add prior reporting period figure to this reporting period for the annual column (except for Q1). |
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Child Arrested– This number should be the total number of cases closed because the Child was arrested and/or incarcerated during the timeframe stated for the quarter. Add prior reporting period figure to this reporting period for the annual column (except for Q1). |
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Other– This number should be the total number of cases closed during the timeframe stated for the quarter due to other reasons than mentioned above. It is not required to list the reasons. Add prior reporting period figure to this reporting period for the annual column (except for Q1). |
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Total Number of Cases Closed for All Reasons - This number should be the total number of cases closed for all reasons during the timeframe stated for the quarter. Add prior reporting period figure to this reporting period for the annual column (except for Q1). |
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Number of Cases Approved for an Extension by ORR - This number should be the total number of cases that were approved by ORR for an extension during the timeframe stated for the quarter. Add prior reporting period figure to this reporting period for the annual column (except for Q1). |
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PRS Needs (By type) |
Quarter (1) |
Annual |
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Original reason for referral to PRS (New Cases) |
Ongoing Primary Needs PRS Identified (After Initial Assessment) |
Original reason for referral to PRS (New Cases) |
Ongoing Primary Needs PRS Identified (After Initial Assessment) |
Placement Stability and Safety –This number should be the total number of cases during the timeframe stated for the quarter. Add prior reporting period figure to this reporting period for the annual column (except for Q1). The number in the first column will be comprised of any referrals accepted and/or served during the quarter that were referred for PRS due to identified need for services related to placement stability and safety. The number in the second column will be compromised of any cases PRS provider accepted and/or served during the quarter in which the provider identified services related to placement safety and stability as a need based on the provider’s assessment. These will occasionally have cases counted more than one time per issue. |
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Guardianship– This number should be the total number of cases during the timeframe stated for the quarter. Add prior reporting period figure to this reporting period for the annual column (except for Q1). The number in the first column will be comprised of any referrals accepted and/or served during the quarter that were referred for PRS due to identified need for services related to guardianship. The number in the second column will be compromised of cases the PRS provider accepted and/or served during the quarter in which the provider identified services related to guardianship as a need based on the provider’s assessment. These will occasionally have cases counted more than one time per issue. |
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Legal Services– This number should be the total number of cases during the timeframe stated for the quarter. Add prior reporting period figure to this reporting period for the annual column (except for Q1). The number in the first column will be comprised of any referrals accepted and/or served during the quarter that were referred for PRS due to identified need for legal services. The number in the second column will be comprised of any cases PRS provider accepted and/or served during the quarter in which the provider identified legal services as a need based on the provider’s assessment. These will occasionally have cases counted more than one time per issue. |
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School Enrollment / Education – This number should be the total number of cases during the timeframe stated for the quarter. Add prior reporting period figure to this reporting period for the annual column (except for Q1). The number in the first column will be comprised of any referrals accepted and/or served during the quarter that were referred for PRS due to identified need around school enrollment/education. The number in the second column will be comprised of any cases the PRS provider accepted and/or served during the quarter in which the provider identified school enrollment/education as a need based on the provider’s assessment. These will occasionally have cases counted more than one time per issue. |
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Medical Services – This number should be the total number of cases during the timeframe stated for the quarter. Add prior reporting period figure to this reporting period for the annual column (except for Q1). The number in the first column will be comprised of any referrals accepted and/or served during the quarter that were referred for PRS due to identified need for medical services. The number in the second column will be comprised of any cases the PRS provider accepted and/or served during the quarter in which the provider identified medical services as a need based on the provider’s assessment. These will occasionally have cases counted more than one time per issue. |
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Individual Mental Health Services – This number should be the total number of cases during the timeframe stated for the quarter. Add prior reporting period figure to this reporting period for the annual column (except for Q1). The number in the first column will be comprised of any referrals accepted and/or served during the quarter that were referred for PRS due to identified need for individual mental health services. The number in the second column will be comprised of any cases the PRS provider accepted and/or served during the quarter in which the provider identified individual mental health services as a need based on the provider’s assessment. These will occasionally have cases counted more than one time per issue. |
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Family Stabilization and Counseling – This number should be the total number of cases during the timeframe stated for the quarter. Add prior reporting period figure to this reporting period for the annual column (except for Q1). The number in the first column will be comprised of any referrals accepted and/or served during the quarter that were referred for PRS due to identified need for services related to family stabilization and/or family counseling. The number in the second column will be comprised on any cases the PRS provider accepted and/or served during the quarter in which the provider identified family stabilization and/or family counseling services as a need based on the provider’s assessment. These will occasionally have cases counted more than one time per issue. |
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Substance Abuse – This number should be the total number of cases during the timeframe stated for the quarter. Add prior reporting period figure to this reporting period for the annual column (except for Q1). The number in the first column will be comprised of any referrals accepted and/or served during the quarter that were referred for PRS due to identified need for substance abuse services. The number in the second column will be comprised of any cases the PRS provider accepted and/or served during the quarter in which the provider identified substance abuse services as a need based on the provider’s assessment. These will occasionally have cases counted more than one time per issue. |
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Gang Prevention – This number should be the total number of cases during the timeframe stated for the quarter. Add prior reporting period figure to this reporting period for the annual column (except for Q1). The number in the first column will be comprised of any referrals accepted and/or served during the quarter that were referred for PRS due to identified need for services related to gang prevention. The number in the second column will be comprised of any cases the PRS provider accepted and/or served during the quarter in which the provider identified services related to gang prevention as a need based on the provider’s assessment. These will occasionally have cases counted more than one time per issue. |
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Youth Programming – This number should be the total number of cases during the timeframe stated for the quarter. Add prior reporting period figure to this reporting period for the annual column (except for Q1). The number in the first column will be comprised of any referrals accepted and/or served during the quarter that were referred for PRS due to identified need for services related to youth programming. The number in the second column will be comprised of any cases the PRS provider accepted and/or served during the quarter in which the provider identified services related to youth programming as a need based on the provider’s assessment. These will occasionally have cases counted more than one time per issue. |
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Services Related to Cultural and other Traditions– The number in each column should be the total number of cases during the timeframe stated for the quarter. Add prior reporting period figure to this reporting period for the annual column (except for Q1). The number in the first column will be comprised of any referrals accepted and/or served during the quarter that were referred for PRS due to identified need for services related to cultural and other traditions. The number in the second column will be comprised of any cases the PRS provider accepted and/or served during the quarter in which the provider identified services related to cultural and other traditions as a need based on the provider’s assessment. These will occasionally have cases counted more than one time per issue. |
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Supporting Integration and Independence – This number should be the total number of cases during the timeframe stated for the quarter. Add prior reporting period figure to this reporting period for the annual column (except for Q1). The number in the first column will be comprised of any referrals accepted and/or served during the quarter that were referred for PRS due to identified need for services related to supporting integration and independence. The number in the second column will be comprised of cases the PRS provider accepted and/or served during the quarter in which the provider identified services related to supporting integration and independence as a need based on the provider’s assessment. These will occasionally have cases counted more than one time per issue. |
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Other – This number should be the total number of cases during the timeframe stated for the quarter. Add prior reporting period figure to this reporting period for the annual column (except for Q1). The number in the first column will be comprised of any referrals accepted and/or served during the quarter that were referred for PRS outside of the above types and/or not specified. The number in the second column will be comprised of any cases the PRS provider accepted and/or served during the quarter in which the provider identified a need based on the provider’s assessment that is outside of the above types. These will occasionally have cases counted more than one time per issue. |
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PAPERWORK REDUCTION ACT (PRA) OF 1995 (Public Law 104-13) STATEMENT OF PUBLIC BURDEN: The purpose of this information collection is to provide relevant data to monitor the performance of grant recipients and analyze HS & PRS outcomes to inform ORR’s program development and services. Public reporting burden for this collection of information is estimated to average 0.5 hour per grantee, including the time for reviewing instructions, gathering and maintaining the data needed, and reviewing the collection of information. This is a mandatory collection of information (Homeland Security Act, 6 U.S.C. § 279 and Trafficking Victims Protection Reauthorization Act of 2008, 8 U.S.C. § 1232). An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information subject to the requirements of the PRA of 1995, unless it displays a currently valid OMB control number. If you have any comments on this collection of information, please contact UCPolicy@acf.hhs.gov.
File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
Author | Pham, Tiffany (ACF) |
File Modified | 0000-00-00 |
File Created | 2024-10-27 |