CCDF Financial Reporting Form (ACF-696) |
Index: ACYF-PI-CC-03-01 | ACF-696 Form | ACF-696 Instructions | (Collection available in Word and PDF) |
Related Items: ACF Regional Administrators |
INSTRUCTION FOR COMPLETION OF FORM ACF-696 (ACYF-PI-CC-03-01) |
Financial Reporting Form for the Child Care and Development Fund All States are required to complete and submit this report in accordance with these instructions on behalf of the State agency administering the Child Care and Development Fund. Due Dates: This form must be submitted quarterly by January 31, April 30, July 31 and October 31. States must submit quarterly reports for each fiscal year until all funds are expended. Distribution: The original copy (with original signatures) must be submitted to: Administration for Children and Families, Office of Grants Management, Division of Mandatory Grants, OA/OGM/DMG, 370 L'Enfant Promenade, S.W., Washington, D.C. 20447. An additional copy must be submitted to the ACF Regional Administrator. General Instructions.
Columns: All amounts reported in columns (A), (B), (C), and (D) must be actual obligations or expenditures made under the State's plan and in accordance with all applicable statutes and regulations. All amounts reported in the Estimates section are estimates of obligations or expenditures to be made during the quarter indicated based on the best information available to the State.
Cumulative Fiscal Year Totals Line 1. Total. Enter in columns (A) and (C) the cumulative expenditures of Mandatory and Discretionary funds made from October 1 of the fiscal year for which the report is being submitted through the current quarter being reported. Enter in column (B) the cumulative total of both Federal and State expenditures made from October 1 of the fiscal year for which the report is being submitted through the current quarter being reported. Enter in column (D) the State Maintenance of Effort (MOE) expenditures from October 1 of the fiscal year for which the report is being submitted through the quarter being reported. Additionally, in column (D) the 20% pre-K limitation will be strictly observed, and for purposes of determining if the CCDF MOE level is met, pre-K expenditures, as represented in the State's approved CCDF plan, will be counted only up to the allowable percentages provided in the regulations. Similarly, donated funds reported in column (D) must meet the requirements of the regulations. Additionally, States may choose to use Column (D) to report additional State expenditures on child care that are not required to meet MOE or matching thresholds but that meet the requirements for MOE. Finally, quality expenditures reported in the MOE in column (D) WILL NOT be counted towards the minimum expenditure amount required to be spent on quality activities from the Mandatory, Matching, and Discretionary funds. Line 1 is equal to 1(a)+1(b)+1(c)+1(d)+1(e)+1(f)+1(g)+1(h). Line 1(a). Child Care Administration. Enter in columns (A) and (C) the cumulative expenditures of Mandatory and Discretionary funds, respectively, for child care administration from October 1 of the fiscal year for which the report is being submitted through the current quarter being reported. Enter in column (B) the cumulative total of both Federal and State expenditures made from October 1 of the fiscal year for which the report is being submitted through the current quarter being reported. Enter in column (D) the cumulative total of State MOE expenditures made from October 1 of the fiscal year for which the report is being submitted through the current quarter being reported. At the end of the liquidation period, no more than 5% of Line 1 (the sum of columns (A), (B), and (C)) can be claimed for this activity. Expenditures reported in column (D) are not subject to the 5% limitation. Line 1(b). Quality Activities Not Included in Earmarks. Enter in columns (A) and (C) the cumulative expenditures of Mandatory and Discretionary funds, respectively, for child care quality activities from October 1 of the fiscal year for which the report is being submitted through the current quarter being reported. Enter in column (B) the cumulative total of both Federal and State expenditures made from October 1 of the fiscal year for which the report is being submitted through the current quarter being reported. Enter in column (D) the cumulative total of State MOE expenditures made from October 1 of the fiscal year for which the report is being submitted through the current quarter being reported. At the end of the liquidation period, no less than 4% of Line 1 (the sums of column (A), (B), and (C)) can be claimed for this activity. Line 1(c). Earmark to Infant and Toddler. Enter in column (C) the cumulative Discretionary Fund expenditures for the Infant and Toddler child care Earmark from October 1 of the fiscal year for which the report is being submitted through the current quarter being reported. Line 1(d). Earmark to Quality Expansion. Enter in column (C) the cumulative Discretionary Fund expenditures for the Quality Expansion Earmark from October 1 of the fiscal year for which the report is being submitted through the current quarter being reported. Line 1(e). Earmark to School-Age/Resource and Referral. Enter in column (C) the cumulative Discretionary Fund expenditures for the School-Age/Resource and Referral Earmark from October 1 of the fiscal year for which the report is being submitted through the current quarter being reported. Line 1(f). Other Earmarked Funds. Enter in column (C) the cumulative Discretionary Fund expenditures for the other Earmarked funds from October 1 of the fiscal year for which the report is being submitted through the current quarter being reported.
Line 1(g). Direct Services. Enter in columns (A), and (C) the cumulative expenditures from the Mandatory and Discretionary funds, respectively, from October 1 of the fiscal year for which the report is being submitted through the current quarter being reported. Enter in column (B) the cumulative total of both Federal and State expenditures from October 1 of the fiscal year for which the report is being submitted through the current quarter being reported. Enter in column (D) the cumulative total of State MOE expenditures made from October 1 of the fiscal year for which the report is being submitted through the current quarter being reported. Line 1(h). Nondirect Services. Enter in columns (A) and (C) the cumulative expenditures from Mandatory and Discretionary funds, respectively, made from October 1 of the fiscal year for which the report is being submitted through the current quarter reported. Enter in column (B) the cumulative total of both Federal and State expenditures made from October 1 of the fiscal year for which the report is being submitted through the current quarter being reported. Enter in column (D) the cumulative total of State MOE expenditures made from October 1 of the fiscal year for which the report is being submitted through the current quarter being reported. Line 1(h) is equal to 1(h)(1)+1(h)(2)+1(h)(3). Line 1(h)(1). Systems. Enter in columns (A) and (C) the cumulative expenditures from Mandatory and Discretionary funds, respectively, made from October 1 of the fiscal year for which the report is being submitted through the current quarter reported. Enter in column (B) the cumulative total of both Federal and State expenditures made from October 1 of the fiscal year for which the report is being submitted through the current quarter being reported. Enter in column (D) the cumulative total of State MOE expenditures made from October 1 of the fiscal year for which the report is being submitted through the current quarter being reported. Line 1(h)(2). Certificate Program Cost / Eligibility Determination. Enter in columns (A) and (C) the cumulative expenditures from the Mandatory and Discretionary funds, respectively, made from October 1 of the fiscal year for which the report is being submitted through the current quarter reported. Enter in column (B) the cumulative total of both Federal and State expenditures made from October 1 of the fiscal year for which the report is being submitted through the current quarter being reported. Enter in column (D) the cumulative total of State MOE expenditures made from October 1 of the fiscal year for which the report is being submitted through the current quarter being reported. Line 1(h)(3). All Other Nondirect Services. Enter in columns (A) and (C) the cumulative expenditures from Mandatory and Discretionary funds, respectively, made from October 1 of the fiscal year for which the report is being submitted through the current quarter reported. Enter in column (B) the cumulative total of both Federal and State expenditures made from October 1 of the fiscal year for which the report is being submitted through the current quarter being reported. Enter in column (D) the cumulative total of State MOE expenditures made from October 1 of the fiscal year for which the report is being submitted through the current quarter being reported. Line 2. State Share of Expenditures. Enter in column (B) cumulative State expenditures for the fiscal year for which the report is being submitted at the specified FMAP rate. Enter the column (D) cumulative State MOE expenditures for the fiscal year for which the report is being submitted. Only columns (B) and (D) are completed. No entry is required in columns (A) and (C). Line 2(D) will be the same number as entered in line 1(D). Line 2 is equal to 2(a)+2(b)+2(c). Line 2(a). Regular. Enter in column (B) cumulative State expenditures for the fiscal year for which the report is being submitted. Enter the column (D) cumulative State MOE expenditures for the fiscal year for which the report is being submitted. Only columns (B) and (D) are completed. No entry is required in columns (A) and (C). All other public funds used by the State as the State share are to be included in this category. These could include, for example, certified/transferred funds from public schools (non pre-K), city and county governments, and Community Development Block grant funds. Line 2(b). Private Donated Funds. Enter in column (B) cumulative State expenditures for the fiscal year for which the report is being submitted. Enter the column (D) cumulative State MOE expenditures for the fiscal year for which the report is being submitted. Only columns (B) and (D) are completed. No entry is required in columns (A) and (C). Line 2(c). Pre-K. Enter in column (B) cumulative State expenditures for the fiscal year for which the report is being submitted. Enter the column (D) cumulative State MOE expenditures for the fiscal year for which the report is being submitted. Only columns (B) and (D) are completed. No entry is required in columns (A) and (C). A State may use public Pre-K funds for up to 20% of the funds for State match and for up to 20% of the funds for MOE expenditures. The 20% assessment will take place at the end of the applicable expenditure period, and not by quarter. Line 3. Federal Share of Expenditures. Enter the cumulative Federal share of funds expended for the FY for which the report is being submitted. In columns (A) and (C) this number will be the same as that on line 1. Line 4. Federal Share of Unliquidated Obligations. Enter the cumulative amount of obligated Federal funds that have not been liquidated for the FY. Line 5. Awarded. Enter the cumulative amount of Federal funds awarded for the FY for which the report is being submitted. Line 6. Transfer from TANF. Enter the cumulative amount transferred from TANF for the FY for which the report is being submitted. The rules and regulations of the Child Care and Development Block Grant (Discretionary Funds) program will govern any amounts transferred from TANF. Only column (C) is completed. No entry is required in columns (A), (B), and (D). Funds reported on this line must also be incorporated into the amounts entered on the other lines of column (C). Line 7. Unobligated Balance. Enter the amount of unobligated Federal funds for the FY for which the report is being submitted. Amounts reported in column (B) and remaining unobligated after the one-year obligation period will be returned to the Federal government and re-distributed. Amounts reported in column (C), and remaining unobligated, after the two-year obligation period, will be returned to the Federal Government. Estimates Line 8. Federal Funds Requested. Enter the State estimate of funds needed for the quarter ending 180 days after this reporting quarter. (This date is entered as the Next Quarter Ending date in upper right hand corner of report.) Reallotted Funds For the quarter ending 3/31, check whether or not the State would like to receive its proportional share of reallotted Discretionary funds that may become available. For the quarter ending 9/30, check whether or not the State would like to receive its proportional share of reallotted Matching funds that may become available. If the State wishes to limit the amount received to a specific amount, due to State share funding limitations, it should indicate in the space available the maximum amount it would like to receive. Please Note: If reports are not received within 30 days after the end of the quarter (10/31 and 4/30 respectively), the State will not be eligible for reallotted funds. Signatures. This report must be signed and dated in the space provided, including the title, agency and phone number of the individual whose signature is shown. Note: The individual who signs this report is certifying that: (a) the information provided on all parts of this form and all accompanying documents is accurate and correct; and (b) that any amount shown as the State share of obligations is or will be available to meet the non-Federal share as prescribed by law. NOTE: "THE PAPERWORK REDUCTION ACT OF 1995" SUPPLEMENTAL INFORMATION Below are explanations of terms that may be of use in completing the form.
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CCDF Financial Reporting Form (ACF-696) |
Index: ACYF-PI-CC-03-01 | ACF-696 Form | ACF-696 Instructions | (Collection available in Word and PDF) |
Related Items: ACF Regional Administrators |