PSB-CY Child Information

UNCLASSIFIED
UNCLASSIFIED

PSB-CY Information System Incident
Intake Screenshots

Provided by MCA to OMB
for OMB number renewal
Dec 2024
ALL DATA REFLECTED IS FICTITIOUS FOR SYSTEM
DEVELOPMENT, TESTING, AND DEMONSTRATION
PURPOSES ONLY.
Not for distribution
Excellence | People-Centric | Integrity | Collaboration | Respect
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Warning & Consent Banner

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Add Incident

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Start Intake

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Start Intake – Date

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NOTE:
All date fields
throughout the
PSB-CY
System use the
same format.

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Start Intake – Incident Category

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Start Intake – Service

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Start Intake – Region

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Start Intake – Installation

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Start Intake – Installation

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Involved Children

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Involved Children

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Involved Children

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Involved Children

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Involved Children

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Involved Children

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Involved Children

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Involved Children

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Involved Children

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Incident Details

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Incident Details

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Incident Details

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Incident Details

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Incident Source

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Incident Source

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Incident Source Continued

Excellence | People-Centric | Integrity | Collaboration | Respect
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Incident Summary

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Incident Summary Continued

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