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pdfOMB Control Number 0985-0054
Expiration Date: 02/29/2020
KEY INDICATORS COMPONENT DATA
PRA Public Burden Statement:
According to the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of
information unless such collection displays a valid OMB control number (OMB 0985-0054). Public
reporting burden for this collection of information is estimated to average per response as follows for each
component of the collection: Agency Component – 7 hours; Key Indicator Component – 32 hours; Case
Component – 125 hours. These estimates include the time for gathering and maintaining the data needed and
completing and reviewing the collection of information. The obligation to respond to this collection is
voluntary. Send comments regarding the burden estimate or any other aspect of this collection of
information, including suggestions for reducing this burden, to the Administration for Community Living,
U.S. Department of Health and Human Services, 330 C Street, SW, Washington, DC 20201-0008, Attention:
Stephanie Whittier Eliason, at 202.795.7467 and Stephanie.WhittierEliason@acl.hhs.gov
The Key Indicators Component data will be entered directly onto an online form on the NAMRS website on an
annual basis. The reporting period is the federal fiscal year (October–September). This component includes
aggregated counts of key statistics and is submitted only by those states that cannot submit the Case
Component.
Table 1–Investigations
Element Name
Element Description/
Categories
Required
Field Entry
Format
Instructions
K1
Investigations
Closed
Number of investigations closed
during the reporting period.
Yes
Numeric - 10
integers
Investigation could have been
received in previous reporting
period, but must have been
closed during current
reporting period. Closed
investigations include those
completed and resulted in a
finding (e.g., substantiated,
unsubstantiated). Closed
investigations also include
those where the investigation
was not completed due to
reasons such as client
refused services. Do not
include investigation closed
due to administrative reasons
such as opened in error.
K1.1
Comment
Provide additional information on
the number of investigations
closed during the reporting
period.
No
Text - 5,000
characters
Element
Category/No.
Clients who
received
investigations
Element Name
Element Description/
Categories
Required
Field Entry
Format
K2
Clients who
received an
investigation
K2.1
Comment
Element
Category/No.
Investigations
Closed
Table 2–Clients
Clients who
received
interagency
coordination
Instructions
Count each client in each
investigation. If a client was
the subject of two
investigations, count twice.
Number of clients involved in an
investigation that was closed or
completed during the reporting
period.
Provide additional information on
how number of clients was
determined.
Yes
Numeric - 10
integers
No
Text - 5,000
characters
Count each client once for
each investigation in which
he/she received one or more
interagency coordination
activities.
B-1
Element
Category/No.
Element Name
Element Description/
Categories
Required
Field Entry
Format
Instructions
K3
Clients who
received
interagency
coordination
Number of clients referred to an
agency in which an interagency
coordination was part of the
investigation.
No
Numeric - 10
integers
Examples of agencies include
law enforcement or
prosecutorial offices,
protection and advocacy or
Client Advocacy Program
(CAP), state licensing agency,
State Medicaid Fraud Control
Unit (MFCU), and Long Term
Care Ombudsman Program.
K3.1
Comment
Provide additional information on
how number of clients who
received interagency
coordination was determined.
No
Text - 5,000
characters
This includes the number of
clients by case closure reason
whose case was closed for a
specific reason.
Clients by case
closure reason
A client is counted for each
case closure. There can only
be one primary case closure
reason per client per case.
K4.1
Investigation completed
No
K4.2
No
K4.5
Investigation completed and
protective services case
completed
Investigation unable to be
completed (non-specific)
Investigation unable to be
completed due to death of client
during investigation
Investigation unable to be
completed due to refusal of
client
Protective services case opened
but not completed (non-specific)
Protective services case closed
due to death of client
Protective services case closed
due to client decision to not
continue
Other
K4.6
Unknown
No
Provide additional information on
how number of clients by case
closure reason was determined.
No
K4.3
K4.3.1
K4.3.2
K4.4
K4.4.1
K4.4.2
K4.7
Comment
No
No
Numeric - 10
integers
Numeric - 10
integers
Numeric - 10
integers
Numeric - 10
integers
No
Numeric - 10
integers
No
Numeric - 10
integers
Numeric - 10
integers
Numeric - 10
integers
No
No
No
Numeric - 10
integers
Numeric - 10
integers
Text - 5,000
characters
B-2
Table 3–Victims
Element
Category/No.
Clients found
to be victims
Element Name
K5
Clients found to be
victims
K5.1
Comment
Element Description/
Categories
Required
Field Entry
Format
Instructions
A victim is counted once for
each investigation in which a
maltreatment was
substantiated, no matter how
many maltreatments were
substantiated.
Number of victims in which at
least one maltreatment
disposition was substantiated
per investigation.
Provide additional information on
how number of victims was
determined.
Yes
Numeric - 10
integers
No
Text - 5,000
characters
The victim’s age is computed
by subtracting the client's date
of birth from the investigation
start date. An estimated age
can be used.
Victims by Age
The victim’s age is counted
once per each investigation in
which the client was found to
be a victim.
Age could differ between
investigations.
K6.1
18-29 years
No
K6.2
30-39 years
No
K6.3
40-49 years
No
K6.4
50-59 years
No
K6.5
60-69 years
No
K6.6
70-74 years
No
K6.7
75-84 years
No
K6.8
85 and older
No
K6.9
Unknown
No
Provide additional information on
how age was computed.
No
K6.10
Comment
Numeric - 10
integers
Numeric - 10
integers
Numeric - 10
integers
Numeric - 10
integers
Numeric - 10
integers
Numeric - 10
integers
Numeric - 10
integers
Numeric - 10
integers
Numeric - 10
integers
Text - 5,000
characters
B-3
Element
Category/No.
Victims by
race
Element Name
Element Description/
Categories
Required
No
K7.2
American Indian or Alaska
Native
Asian
K7.3
Black or African American
No
K7.4
No
K7.5
Native Hawaiian or Other Pacific
Islander
White
K7.6
Other
No
K7.7
Unknown
No
Provide additional information on
how number of victims by race
was determined.
No
Comment
No
No
Numeric - 10
integers
Numeric - 10
integers
Numeric - 10
integers
Numeric - 10
integers
Numeric - 10
integers
Numeric - 10
integers
Numeric - 10
integers
Text - 5,000
characters
Count each victim once per
investigation.
Victims by
ethnicity
K8.1
Hispanic, Latino/a, or Spanish
No
K8.2
Not Hispanic, Latino/a, or
Spanish
Unknown
No
Provide additional information on
how number of victims by
ethnicity was determined.
No
K8.3
K8.4
Comment
No
Numeric -10
integers
Numeric - 10
integers
Numeric - 10
integers
Text - 5,000
characters
Count each victim once per
investigation.
Victims by
gender identity
K9.1
Male
No
K9.2
Female
No
K9.3
Transgender
No
K9.4
Unknown
No
Provide additional information on
how number of victims by
gender was determined.
No
K9.5
Instructions
A multiracial victim is counted
for each race identified. For
example, if the victim is Asian
and White, the victim should
be counted in both race
categories. If specific races
cannot be identified for the
multiracial victim, the victim is
counted in “other” category.
K7.1
K7.8
Field Entry
Format
Comment
Numeric - 10
integers
Numeric - 10
integers
Numeric - 10
integers
Numeric - 10
integers
Text - 5,000
characters
B-4
Element
Category/No.
Victims
receiving
benefits
Element Name
Element Description/
Categories
Required
K10
Victims who
received one or
more benefits
Number of victims who received
one or more federal and/or state
benefits.
K10.1
Comment
Provide additional information on No
how number of victims by receipt
of benefits was determined.
No
Field Entry
Format
Numeric - 10
integers
K11.1
A victim is counted once per
investigation in which he/she
was identified as having one
or more disabilities.
Victims with one or
more disabilities
Comment
Number of victims with one or
more disabilities.
Provide additional information on
how number of victims with one
or more disabilities was
determined.
No
No
Numeric - 10
integers
Text - 5,000
characters
Victims with
behavioral
conditions
K12
Victims with one or
more screened or
diagnosed
behavioral
conditions
Number of victims with one or
more screened or diagnosed
behavioral conditions.
No
Numeric - 10
integers
K12.1
Comment
Provide additional information on
how number of victims with a
behavioral condition was
determined.
No
Text - 5,000
characters
Victims by
maltreatment
type
A victim is counted once per
investigation in which he/she
received one or more
benefits.
The types of benefits include
but are not limited to:
Medicaid, Medicare, public
subsidized housing, Social
Security Disability Insurance,
Social Security retirement
benefits, Supplemental
Security Income, Temporary
Assistance for Needy
Families, and veterans'
disabled benefits.
Text - 5,000
characters
Victims with
disabilities
K11
Instructions
A victim is counted once per
investigation in which he/she
was screened as having one
or more behavioral conditions.
The types of diagnoses
include, but are not limited to:
alcohol use disorder, anxiety,
bipolar disorder, dementia,
depression, schizophrenia
and other psychotic disorders,
substance use disorder, and
traumatic brain injury.
A victim is counted each time
he/she was substantiated as a
victim of a specific
maltreatment type.
For example, if a person was
found to be a victim of neglect
in two investigations, the
count for neglect would be
two for that victim.
B-5
Element
Category/No.
Element Description/
Categories
Required
Field Entry
Format
K13.1
Abandonment
No
K13.2
Emotional abuse
No
K13.3
Exploitation (non-specific)
No
K13.3.1
Financial exploitation
No
K13.3.2
Other exploitation
No
K13.4
Neglect
No
K13.5
Physical abuse
No
K13.6
Sexual abuse
No
K13.7
Suspicious death
No
K13.8
Self-neglect
No
K13.9
Other
No
K13.10
Unknown
No
Provide additional information on
how number of victims by
maltreatment type was
determined.
No
Numeric - 10
integers
Numeric - 10
integers
Numeric - 10
integers
Numeric - 10
integers
Numeric - 10
integers
Numeric - 10
integers
Numeric - 10
integers
Numeric - 10
integers
Numeric - 10
integers
Numeric - 10
integers
Numeric - 10
integers
Numeric - 10
integers
Text - 5,000
characters
K13.11
Element Name
Comment
A victim is counted once per
investigation in which he/she
was screened as having one
or more guardians or
conservators.
Victims with
guardian or
conservator
K14
K14.1
Victims who
received or
were referred
for services
Instructions
Victims with
guardian or
conservator at start
of investigation
Comment
Number of victims with guardian
or conservator at start of
investigation.
No
Provide additional information on No
how number of victims by one or
more guardians or conservators
was determined.
Numeric - 10
integers
Text - 5,000
characters
A victim is counted once per
investigation in which he/she
received or was referred for
one or more services.
If a client received multiple
services and also was
referred for multiple services
in one investigation, he/she is
counted only once.
B-6
Element
Category/No.
Element Name
Element Description/
Categories
Required
Field Entry
Format
K15
Victims who
received services or
were referred for
services by APS
Comment
Number of victims who received
services or were referred for
services by APS.
No
Numeric - 10
integers
Provide additional information on
how number of victims by
services was determined.
No
Text - 5,000
characters
Element Description/
Categories
Required
Field Entry
Format
K15.1
Instructions
Table 4–Perpetrators
Element
Category/No.
Perpetrators by
age
Element
Name
Instructions
The perpetrator age is
computed by subtracting the
person's date of birth from the
investigation start date. An
estimated age can be used.
Count each perpetrator once
per client per investigation.
If a person was the
perpetrator of two clients in
one investigation, the person
is counted twice.
K16.1
17 and younger
No
K16.2
18-29 years
No
K16.3
30-39 years
No
K16.4
40-49 years
No
K16.5
50-59 years
No
K16.6
60-69 years
No
K16.7
70-74 years
No
K16.8
75-84 years
No
K16.9
85 and older
No
K16.10
Unknown
No
Provide additional information on
how number of perpetrators by
age was determined.
No
Male
No
K16.11
Comment
Numeric - 10
integers
Numeric - 10
integers
Numeric - 10
integers
Numeric - 10
integers
Numeric - 10
integers
Numeric - 10
integers
Numeric - 10
integers
Numeric - 10
integers
Numeric - 10
integers
Numeric - 10
integers
Text - 5,000
characters
Perpetrators by
gender identity
K17.1
Numeric - 10
integers
B-7
Element
Category/No.
Element Description/
Categories
Required
Field Entry
Format
K17.2
Female
No
K17.3
Transgender
No
K17.4
Unknown
No
Provide additional information on
how number of perpetrators by
gender was determined.
No
Numeric - 10
integers
Numeric - 10
integers
Numeric - 10
integers
Text - 5,000
characters
K17.5
Element
Name
Comment
Count each perpetrator once
per client per investigation.
Perpetrators with
kinship
relationship
K18
K18.1
If a person was the
perpetrator of two clients in
one investigation and is
related to one victim and not
the second, the perpetrator is
counted only once.
Perpetrators
who had a
kinship
relationship to
the victim
Comment
Number of perpetrators related
to the victim by affinity (blood,
adoption, marriage, etc.)
No
Numeric - 10
integers
Provide additional information on
how number of perpetrators by
kinship relationship was
determined.
No
Text - 5,000
characters
Count each perpetrator once
per client per investigation.
If a person was the perpetrator
of two clients in one
investigation and has one or
more caregiving relationships
to one victim and not the
second, the
perpetrator is counted only
once.
Perpetrators with
association to
victim
K19
K19.1
Instructions
Perpetrators
who had one or
more
associations to
victim
Comment
Number of perpetrators with one
or more caregiving relationships
to the victim.
No
Numeric - 10
integers
Provide additional information on
how number of perpetrators by
association to the victim was
determined.
No
Text - 5,000
characters
B-8
Element
Category/No.
Perpetrators with
legal remedy
recommendations
Element
Name
K20
Perpetrators for
whom one or
more legal
remedies on
behalf of the
victim were
recommended
or sought
Comment
K20.1
Element Description/
Categories
Required
Field Entry
Format
Instructions
Count each perpetrator once
per client per investigation.
If a person was the perpetrator
of two clients in one
investigation and had one or
more legal remedies
recommended or sought
related to one victim and none
with the second, the
perpetrator is counted only
once.
Number of perpetrators for
whom at least one legal remedy
was recommended or sought.
No
Numeric - 10
integers
Provide additional information on
how number of perpetrators by
legal remedy was determined.
No
Text - 5,000
characters
B-9
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File Modified | 0000-00-00 |
File Created | 0000-00-00 |