| ACF Administration for Children and Families |
U.S. DEPARTMENT OF HEALTH AND HUMAN
SERVICES Administration for Children, Youth and Families |
||
| 1. Log No.: ACYF-CB-PI-02-01 | 2. Issuance Date: February 25, 2002 | ||
| 3. Originating Office: Children's Bureau | |||
| 4. Key Words: Title IV-E Financial Report, Form ACF-IV-E-1 | |||
PROGRAM INSTRUCTION
TO: State and Territorial Agencies Administering or Supervising the Administration of Title IV-E of the Social Security Act.
SUBJECT: Extended approval of Form ACF-IV-E-1 for reporting financial information on the title IV-E Foster Care and Adoption Assistance Programs.
LEGAL and RELATED REFERENCES: Title IV-E of the Social Security Act and 45 CFR 201.5
PURPOSE:
This program instruction (PI) informs States and Territories of the
extended approval by the Office of Management and Budget (OMB) of
the Form ACF-IV-E-1.
INFORMATION:
The OMB approval of the Form ACF-IV-E-1 was extended to May 31,
2004. The only change to the previous version is a minor revision
to the instructions for Part IV, Demonstration Projects, Holding
Account (line 7f). The form data reporting requirements and
computations did not change.
ACTION REQUIRED:
States and participating Territories are requested to photocopy
sufficient copies of the form and instructions, included as
attachments to this PI, to meet their reporting requirements.
SUBMISSION:
Form ACF-IV-E-1 must be received by ACF by the 30th day of the
month following the end of each fiscal quarter.
One copy with an "original signature" should be submitted to:
Administration on Children, Youth and Families
Office of Management Services
330 C Street, SW
Washington, D.C. 20447
A photocopy should be submitted to the ACF Regional Administrator.
| ATTACHMENTS: | 1. Copy of the Form
ACF-IV-E-1 2. Instructions to complete Form ACF-IV-E-1. |
REPORTING BURDEN:
The public reporting burden for collecting the information for the
Form ACF-IV-E-1 is estimated to average 40 hours per report.
Comments regarding the burden estimate should be sent to the
Administration on Children, Youth and Families, Office of
Management Services, 330 C St. S.W., Washington, D.C. 20447, and to
the Office of Information and Regulatory Affairs, Office of
Management and Budget, Washington, D.C. 20503.
PAPERWORK REDUCTION ACT:
Under the Paperwork Reduction Act of 1995 (Public Law 104-13), 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. The OMB control number of the
Form ACF-IV-E-1 is 0970-0205.
EFFECTIVE DATE:
States and territorial agencies are to begin using this form
effective immediately to report expenditures for title IV-E foster
care and adoption assistance activities.
INQUIRIES TO: ACF Regional Offices
| /s/ ___________________________ Joan E. Ohl Commissioner |
ATTACHMENTS
Attachment A - Copy of the Form ACF-IV-E-1
Part 1 : Quarterly Report of Expenditures and Estimates -
Foster Care
Part 1 : Quarterly Report of Expenditures and Estimates -
Adoption Assistance
Part 2 : Prior
Quarter Adjustments - Foster Care
Part 2
: Prior Quarter Adjustments - Adoption Assistance
Part
3 : Semiannual Budget Projections
Part 4 :
Demonstration Projects
Attachment B - Instructions to complete Form ACF-IV-E-1
