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Program Instruction ACYF-PI-CC-05-04—Application and Plan Procedures for 102-477 Grantees

Index: Cover Letter | ACYF-PI-CC-05-04 | Child Count Declaration | FY 2006 Estimated Tribal Allocation | ACF Regional Administrators | Assurances and Certifications | Statutory and Regulatory Requirements That Will Not be Waived

Related Items: FY 2006 Tribal Application Plan Procedures for CCDF Grantees | CCDF Construction and Renovation Procedures for Tribal Lead Agencies


Attachment A: Child Count Declaration (Also available in Word and PDF. Entire printable collection available in PDF.)

 

Name of Tribal Lead Agency:________________________________________________

This certifies that the number of Indian children under age 13 (as defined in the CCDF section of the 102-477 plan) who reside on or near the reservation or service area (as defined in the CCDF section of the 102-477 plan) 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: Cover Letter | ACYF-PI-CC-05-04 | Child Count Declaration | FY 2006 Estimated Tribal Allocation | ACF Regional Administrators | Assurances and Certifications | Statutory and Regulatory Requirements That Will Not be Waived

Related Items: FY 2006 Tribal Application Plan Procedures for CCDF Grantees | CCDF Construction and Renovation Procedures for Tribal Lead Agencies