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Edit a Profile

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Required fields are indicated by a red asterisk (*) following the label for the input field.

Application Name *
Application Acronym

States and Territories *	Federal Programs *

State Information
Administration	State Administered State Supervised, County Administered Tribal Organization
Additional State Programs
Responsible Program Agency
Responsible System Agency
Other Contributing Agencies

Application Information
Maintenance	State Maintained County Maintained Contractor Maintained
Development Source	Not Available Custom Commercial Hybrid Transferred from another state
If transferred, from which state
Application Status	Planning Design Development Implementation Operational
Actual or Planned Operational Date
Functional Description
Interfaces
Number of System Users
Number of Clients Served
Certifications or Assessments
Future Plans
Other Relevant Information

IT Contractors
Planning
Implementation
Operations
Monitoring
Other

Hardware and Software Environment
Type of Application	Single Database Multiple Database Distributed Database Other
Type of Platform	Single Platform Client-Server Distributed Other
Hardware Platform
Operating System
Languages
DBMS

Other Programs and Services Supported
Adoption	Adult Protective Services	Child Care
Child Care Licensing	Child Care Resource Referral	Child Care Subsidy
Child Family Services	Child Protective Services	Child Support Enforcement
Child Welfare	Employment Services	Family Preservation Support
Food Stamp	Foster Care	Independent Living
Interstate Compact	Juvenile Justice	LIHEAP
Medicaid	Provider Services	TANF

Additional Programs and Services Information

Submitter Information
Your First Name *
Your Last Name *
Your Telephone Number *
Your Email Address *
Comments Summarizing Change Request *

Changes made to the profile will not be visible through the SSP until they have been reviewed and acted upon by an administrator.
When creating a new profile, a two step process is involved. First, you enter initial profile information, and second, you have the option to add one or more contacts for the new profile.

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