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Attachment E

CFS-101 INSTRUCTIONS

State agencies administering title IV-B of the Social Security Act (the Act), and the Child Abuse Prevention and Treatment Act (CAPTA) are required to submit an annual budget request and summary of services (CFS-101). Indian Tribal Organizations which meet the requirements for direct payments and administer the programs are also required to submit this information annually.

This information collection package contains two forms: (1) Part I: Annual Budget Request for Title IV-B, Subpart 1, Child Welfare Services, subpart 2, Promoting Safe and Stable Families, Child Abuse and Neglect Basic State Grant (CAPTA), and the Independent Living Program (optional); and (2) Part II: Annual Summary of Child and Family Services. The instructions and forms for the CFS-101 are also available on the Children's Bureau's web page. The address is:http://www.acf.dhhs.gov/programs/cb

General Instructions

States and Indian Tribes must submit the CFS-101 no later than June 30 of the year prior to the fiscal year in which services will be provided (e.g., for FY 2002 funds the forms must be submitted by June 30, 2001).

Indian Tribes that apply for title IV-B, subpart 1 funds only must complete only the appropriate sections of the CFS-101, Part I and II forms and submit the forms by June 30 of the year prior to the fiscal year in which services will be provided.

Indian Tribes that do not apply for title IV-B, subpart 1 funds, but are eligible for title IV-B, subpart 2 funds must complete only the appropriate sections of the CFS-101, Part I and II forms and submit the forms by June 30 of the year prior to the fiscal year in which services will be provided.

An original and two copies of the CFS-101 must be submitted to the Administration for Children and Families (ACF) Federal Regional Office. The Regional Office is to sign, and submit, the original copy of the CFS-101 (signed and dated), to the following address:

Administration on Children, Youth and Families
Office of Management Services
330 C Street, S.W., Room 1416
Washington, D.C. 20447

PAPERWORK REDUCTION ACT OF 1995

This information collection is conducted in accordance with 45 CFR 1357 of the Child and Family Services. Information received from this collection provides estimates of States' estimated expenditure for title IV-B, subparts 1 and 2, CAPTA funds, and Independent Living Program funds.

Public reporting burden for this collection of information is estimated to average 5 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information.

The responses to this collection are mandatory in accordance with 45 CFR 1357.

This information is not considered confidential, therefore, no additional safeguards are considered necessary beyond that customarily applied to routine government information.

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.

Attachments

Attachment A: Major ICWA Requirements

Attachment B: ACYF-CB-PI-01-02, February 13, 2001

Attachment C: Title IV-B and CAPTA FY 2002 Estimated Allotments

Title IV-B, Subpart 1, Child Welfare Services Fiscal Year 2002 Estimates

Title IV-B, Subpart 1, Child Welfare Services Fiscal Year 2002 Estimates: Child Population and Federal Share Of Funds

Title IV-B, Subpart 2, Promoting Safe and Stable Families

Title IV-B, Subpart 2, Promoting Safe and Stable Families: FY2002 Indian Tribe Estimated Allotments

Child Abuse and Neglect Prevention and Treatment Act (CAPTA) FY 2002 Estimated Allotments

Attachment D: Title IV-B and CAPTA FY 2001 Final Allotments
Title IV-B Subpart 1, Child Welfare Services FY 2001 Allotments

Title IV-B Subpart 1, Child Welfare Services FY 2001 Allotments: Child Population and Federal Share Of Funds

Title IV-B Subpart 2, Promoting Safe and Stable Families: Final State Allotments - FY 2001

Title IV-B Subpart 2, Promoting Safe and Stable Families: Final Tribal Allotments - FY 2001

Child Abuse and Neglect Prevention and Treatment Act - Final State Allotments - FY 2001
Attachment E: CFS 101, Part I, Annual Budget Request and Part II, Annual Summary of Child and Family Services

CFS-101, Part I: Annual Budget Request for Title IV-E, Subparts 1 and 2, CAPTA and Independent Living Program

Budget Request Form

CFS-101, Part II

Annual Summary of Child and Family Services

Attachment F: ACF Regional Administrators and Hub Directors