ACYF-CB-PI-08-04: Attachment B: CFS-101, PART II: Annual Summary of Child and Family Services

Attachment B

CFS-101, PART II: Annual Summary of Child and Family Services

OMB Approval #0980-0047
Approved through October 31, 2008

State or ITO ___________________________________________ For FFY OCTOBER, ____ TO SEPTEMBER 30, ____

Services/Activities

TITLE IV-B

(c)
CAPTA*

(d)
CFCIP*

(e)
ETV*

(f)
TITLE IV-E

(g)
State Local Donated Funds

(h)
Number to be Served

(i)
Population to be Served

(j)
Geog. Area to be Served

(a)
I-CWS

(b)
II-PSSF

Individuals

Families

1) Prevention & Support Services (Family Support)
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2) Protective Services
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3) Crisis Intervention (Family Preservation)
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4)Time-Limited Family Reunification Services
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5) Adoption Promotion and Support Services
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6) Foster Care Maintenance:

(A) Foster Family & Relative Foster Care
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(B) Group/Inst. Care
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7) Adoption Subsidy Pmts..
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8) Independent Living Services
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9) Education and Training Vouchers
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10) Administrative Costs
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11) Staff Training
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12) Foster Parent Recruitment & Training
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13) Adoptive Parent Recruitment & Training
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14) Child Care Related to Employment/Training
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15) Monthly Casewoker Visits
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16) Total
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* States Only, Indian Tribes are not required to include information on these programs

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Attachments

PI 08-04
HTML or PDF (77 KB)

Attachment A: FY 2008 Tribal Allocation Tables

Title IV-B, subpart 1, Child Welfare Services
HTML or PDF (55 KB)

Title IV-B, subpart 2, Promoting Safe and Stable Families
HTML or PDF (63 KB)

Attachment B: CFS-101

Part I: Annual Budget Request for Title IV-B, Subparts 1 & 2 Funds, CAPTA, CFCIP, and ETV Instructions
HTML or PDF (24 KB)

Part I: Annual Budget Request for Title IV-B, Subparts 1 & 2 Funds, CAPTA, CFCIP, and ETV Form
HTML or PDF (18 KB)

Part II: Annual Summary of Child and Family Services Instructions
HTML or PDF (41 KB)

Part II: Annual Summary of Child and Family Services Form
HTML or PDF (31 KB)

PART III: Annual Expenditures for Title IV-B, Subparts 1 and 2, Chafee Foster Care Independence (CFCIP) and Education And Training Voucher (ETV) Instructions
HTML or PDF (28 KB)

PART III: Annual Expenditures for Title IV-B, Subparts 1 and 2, Chafee Foster Care Independence (CFCIP) and Education And Training Voucher (ETV) Form
HTML or PDF (24 KB)

Attachment C: Children's Bureau Regional Program Managers
HTML or PDF (16 KB)

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Administration for Children and Families • 370 L'Enfant Promenade, S.W. • Washington, D.C. 20447

Last Updated: May 12, 2008

Services/Activities	TITLE IV-B		(c) CAPTA*	(d) CFCIP*	(e) ETV*	(f) TITLE IV-E	(g) State Local Donated Funds	(h) Number to be Served		(i) Population to be Served	(j) Geog. Area to be Served
Services/Activities	(a) I-CWS	(b) II-PSSF	(c) CAPTA*	(d) CFCIP*	(e) ETV*	(f) TITLE IV-E	(g) State Local Donated Funds	Individuals	Families	(i) Population to be Served	(j) Geog. Area to be Served
1) Prevention & Support Services (Family Support)	Blank Cell	Blank Cell	Blank Cell	Blank Cell	Blank Cell	Blank Cell	Blank Cell	Blank Cell	Blank Cell	Blank Cell	Blank Cell
2) Protective Services	Blank Cell	Blank Cell	Blank Cell	Blank Cell	Blank Cell	Blank Cell	Blank Cell	Blank Cell	Blank Cell	Blank Cell	Blank Cell
3) Crisis Intervention (Family Preservation)	Blank Cell	Blank Cell	Blank Cell	Blank Cell	Blank Cell	Blank Cell	Blank Cell	Blank Cell	Blank Cell	Blank Cell	Blank Cell
4)Time-Limited Family Reunification Services	Blank Cell	Blank Cell	Blank Cell	Blank Cell	Blank Cell	Blank Cell	Blank Cell	Blank Cell	Blank Cell	Blank Cell	Blank Cell
5) Adoption Promotion and Support Services	Blank Cell	Blank Cell	Blank Cell	Blank Cell	Blank Cell	Blank Cell	Blank Cell	Blank Cell	Blank Cell	Blank Cell	Blank Cell
6) Foster Care Maintenance: (A) Foster Family & Relative Foster Care	Blank Cell	Blank Cell	Blank Cell	Blank Cell	Blank Cell	Blank Cell	Blank Cell	Blank Cell	Blank Cell	Blank Cell	Blank Cell
(B) Group/Inst. Care	Blank Cell	Blank Cell	Blank Cell	Blank Cell	Blank Cell	Blank Cell	Blank Cell	Blank Cell	Blank Cell	Blank Cell	Blank Cell
7) Adoption Subsidy Pmts..	Blank Cell	Blank Cell	Blank Cell	Blank Cell	Blank Cell	Blank Cell	Blank Cell	Blank Cell	Blank Cell	Blank Cell	Blank Cell
8) Independent Living Services	Blank Cell	Blank Cell	Blank Cell	Blank Cell	Blank Cell	Blank Cell	Blank Cell	Blank Cell	Blank Cell	Blank Cell	Blank Cell
9) Education and Training Vouchers	Blank Cell	Blank Cell	Blank Cell	Blank Cell	Blank Cell	Blank Cell	Blank Cell	Blank Cell	Blank Cell	Blank Cell	Blank Cell
10) Administrative Costs	Blank Cell	Blank Cell	Blank Cell	Blank Cell	Blank Cell	Blank Cell	Blank Cell	Blank Cell	Blank Cell	Blank Cell	Blank Cell
11) Staff Training	Blank Cell	Blank Cell	Blank Cell	Blank Cell	Blank Cell	Blank Cell	Blank Cell	Blank Cell	Blank Cell	Blank Cell	Blank Cell
12) Foster Parent Recruitment & Training	Blank Cell	Blank Cell	Blank Cell	Blank Cell	Blank Cell	Blank Cell	Blank Cell	Blank Cell	Blank Cell	Blank Cell	Blank Cell
13) Adoptive Parent Recruitment & Training	Blank Cell	Blank Cell	Blank Cell	Blank Cell	Blank Cell	Blank Cell	Blank Cell	Blank Cell	Blank Cell	Blank Cell	Blank Cell
14) Child Care Related to Employment/Training	Blank Cell	Blank Cell	Blank Cell	Blank Cell	Blank Cell	Blank Cell	Blank Cell	Blank Cell	Blank Cell	Blank Cell	Blank Cell
15) Monthly Casewoker Visits	Blank Cell	Blank Cell	Blank Cell	Blank Cell	Blank Cell	Blank Cell	Blank Cell	Blank Cell	Blank Cell	Blank Cell	Blank Cell
16) Total	Blank Cell	Blank Cell	Blank Cell	Blank Cell	Blank Cell	Blank Cell	Blank Cell	Blank Cell	Blank Cell	Blank Cell	Blank Cell