Agency Resources
HMIS Project - CSB Required Data Elements

 

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DATA ELEMENTS REQUIRED BY CSB FOR FUNDING:

A. Emergency Shelter Program Data Elements

  1. Name
  2. Social Security Number
  3. Birthdate
  4. Gender
  5. Race
  6. Veteran Status
  7. Monthly Income Amount
  8. Income Source
  9. Education
  10. Zip Code of Most Recent Housing
  11. Names of Family Members within Household
  12. Birthdate of Family Members within Household
  13. SSN of Family Members within Household
  14. Date of Shelter Entrance
  15. Date of Shelter Exit
  16. Reason for Leaving Shelter

B. Homelessness Prevention Program Data Elements

  1. Name
  2. Social Security Number
  3. Birthdate
  4. Gender
  5. Race
  6. Veteran Status
  7. Monthly Income Amount
  8. Income Source
  9. Education
  10. Current Zip Code
  11. Names of Family Members within Household
  12. Birthdate of Family Members within Household
  13. SSN of Family Members within Household
  14. Residency in Franklin County Exclusive of City of Columbus
  15. Type of Housing Crisis
  16. Provision of Financial Assistance
  17. Types of Financial Assistance
  18. Source of Financial Assistance
  19. Provision of Non-Financial Services
  20. Date of Service Engagement
  21. Date of Service Termination
  22. Outcome of Service
  23. Zip Code of New Address
  24. Type of New Housing

 

C. Housing Resource Transition Program Data Elements

  1. Name
  2. Social Security Number
  3. Birthdate
  4. Gender
  5. Race
  6. Veteran Status
  7. Monthly Income Amount
  8. Income Source
  9. Education
  10. Current Shelter of Residence
  11. Zip Code of Last Permanent Housing
  12. Names of Family Members within Household
  13. Birthdate of Family Members within Household
  14. SSN of Family Members within Household
  15. Provision of Financial Assistance
  16. Types of Financial Assistance
  17. Source of Financial Assistance
  18. Date of Service Engagement
  19. Date of Service Termination
  20. Outcome of Service
  21. Zip Code of New Address
  22. Type of New Housing

D. Housing Resource Specialist Program Data Elements

  1. Name
  2. Social Security Number
  3. Birthdate
  4. Gender
  5. Race
  6. Veteran Status
  7. Monthly Income Amount
  8. Income Source
  9. Education
  10. Current Shelter of Residence
  11. Zip Code of Last Permanent Housing
  12. Names of Family Members within Household
  13. Birthdate of Family Members within Household
  14. SSN of Family Members within Household
  15. Types of Service Provided
  16. Date of Service Engagement
  17. Date of Service Termination
  18. Date of Case Termination
  19. Outcome of Service
  20. Zip Code of New Address
  21. Type of New Housing

 

E. Housing Program Data Elements

  1. Name
  2. Social Security Number
  3. Birthdate
  4. Gender
  5. Race
  6. Veteran Status
  7. Monthly Income Amount
  8. Income Source
  9. Education
  10. Primary Disability
  11. Zip Code of Last Permanent Housing
  12. Names of Family Members within Household
  13. Birthdate of Family Members within Household
  14. SSN of Family Members within Household
  15. Types of Service Provided
  16. Date of Service Engagement
  17. Date of Service Termination
  18. Date of Case Termination
  19. Outcome of Service
  20. Zip Code of New Address
  21. Type of New Housing
  22. Referrals to Program
  23. Reasons for Not Entering

 

 

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