Program Instruction CCDF-ACF-PI-2008-02; FY 2009 Tribal Application Plan Procedures for CCDF Grantees
(Download in Child Count Declaration Form in Word and PDF.)
Index: CCDF-ACF-PI-2008-02 | Child Care Bureau Regional Program Managers | FY 2009 Tribal Estimates Chart | Child Count Declaration
Related Items: FY 2009 Application and Plan Procedures for 102-477 Grantees
Attachment C
APPENDIX 3 - CHILD COUNT DECLARATION
Name of Tribal Lead Agency:
This certifies that the number of Indian children under age 13 (as defined in Appendix 2, #2) who reside on or near the reservation or service area (as defined in Appendix 2, #3) is: (number)
This count shows the number of Indian children under age 13 as of ______________ (date).
Signature of Individual Authorized to Act for the Tribe
Index: CCDF-ACF-PI-2008-02 | Child Care Bureau Regional Program Managers | FY 2009 Tribal Estimates Chart | Child Count Declaration
Related Items: FY 2009 Application and Plan Procedures for 102-477 Grantees