Download:
pdf |
pdfOMB Control No: 0970-XXXX
Expiration date: XX/XX/XXXX
Master In Care and Capacity Report
Facility Info
State
City
Program Name
In Care
Program Type
Funded Capacity
Male
Female Total
Beds in Reserve
Male
Female Total
Reconcile
Western Region
THE PAPERWORK REDUCTION ACT OF 1995 (Pub. L. 104-13) Public reporting burden for this collection of information is estimated to average .16/ hour per response, including the time for reviewing
instructions, gathering and maintaining the data needed, and reviewing the collection of information. An agency may not conduct or sponsor, and a person is not required to respond to, a collection of
information unless it displays a currently valid OMB control number.
Page 1 of 4
Master In Care and Capacity Report
OMB Control No: 0970-XXXX
Expiration date: XX/XX/XXXX
Facility Info
State
City
Program Name
In Care
Program Type
Funded Capacity
Male
Female Total
Beds in Reserve
Male
Female Total
Reconcile
Central Region
THE PAPERWORK REDUCTION ACT OF 1995 (Pub. L. 104-13) Public reporting burden for this collection of information is estimated to average .16/ hour per response, including the time for
reviewing instructions, gathering and maintaining the data needed, and reviewing the collection of information. An agency may not conduct or sponsor, and a person is not required to respond to, a
collection of information unless it displays a currently valid OMB control number.
Page 2 of 4
Master In Care and Capacity Report
OMB Control No: 0970-XXXX
Expiration date: XX/XX/XXXX
Facility Info
State
City
Program Name
In Care
Program Type
Funded Capacity
Male
Female Total
Beds in Reserve
Male
Female Total
Reconcile
Eastern Region
THE PAPERWORK REDUCTION ACT OF 1995 (Pub. L. 104-13) Public reporting burden for this collection of information is estimated to average .16/ hour per response, including the
time for reviewing instructions, gathering and maintaining the data needed, and reviewing the collection of information. An agency may not conduct or sponsor, and a person is not
required to respond to, a collection of information unless it displays a currently valid OMB control number.
Page 3 of 4
Master In Care and Capacity Report
OMB Control No: 0970-XXXX
Expiration date: XX/XX/XXXX
Facility Info
State
City
Program Name
In Care
Program Type
Funded Capacity
Male
Beds in Reserve
Female Total
Male
Female Total
Reconcile
DFFC
Capacity Summary
Type
Shelter
Transitional Foster Care
Residential Treatment
Staff Secure
Therapeutic Staff Secure
Secure
DFFC
Total
%
Funded Capacity
In Care
In Reserve
Unavailable Funded
THE PAPERWORK REDUCTION ACT OF 1995 (Pub. L. 104-13) Public reporting burden for this collection of information is estimated to average .16/ hour per response, including the time for
reviewing instructions, gathering and maintaining the data needed, and reviewing the collection of information. An agency may not conduct or sponsor, and a person is not required to
respond to, a collection of information unless it displays a currently valid OMB control number.
Page 4 of 4
Master In Care and Capacity Report
12/4/2015
In Care
Facility Info
State
City
Program Name
Funded Capacity
Program Type
Male
Female Total
Beds in Reserve
Male
Female Total
Reconcile
Summary of DCS Capacity
Availibility by Region
Availability by Types of Care
Western Region
Residential Treatment
Central Region
Secure
Eastern Region
Shelter
Total
Staff Secure
Therapeutic Staff Secure
Transitional Foster Care
THE PAPERWORK REDUCTION ACT OF 1995 (Pub. L. 104-13) Public reporting burden for this collection of information is estimated to average .16/ hour per response, including the time for reviewing instructions,
gathering and maintaining the data needed, and reviewing the collection of information. An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it
displays a currently valid OMB control number.
Page 7 of 7
| File Type | application/pdf |
| File Modified | 2016-06-27 |
| File Created | 2015-12-04 |