Attachment E
CFS-101, PART I: ANNUAL BUDGET REQUEST FOR
TITLE IV-B, SUBPARTS 1 AND 2, CAPTA AND INDEPENDENT LIVING
PROGRAM
(Complete separate forms for each fiscal year)
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Enter the name of the State or Indian Tribal Organization (ITO).
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Indicate the Employer Identification Number (EIN).
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Enter the address of the State or ITO Agency.
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Indicate if this is a new or revised budget request.
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Estimated title IV-B, subpart 1 funds:
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Specify the total estimated amount of combined Federal and State or ITO funds that the State or ITO expects to spend during the fiscal year on IV-B, subpart 1 activities.
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Requested Federal share of title IV-B, subpart 1 funds. Enter 75% of the amount on line 5(a).
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Estimated State or ITO match. Enter 25% of the amount on line 5(a).
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Estimated title IV-B, subpart 2 funds.
Specify the total estimated amount of combined Federal and State or ITO funds to be spent during the fiscal year on IV-B, subpart 2 for Family Preservation Services.
Specify the total estimated amount of combined Federal and State or ITO funds to be spent during the fiscal year on IV-B, subpart 2 for Family Support Services.
Specify the total estimated amount of combined Federal and State or ITO funds to be spent during the fiscal year on IV-B, subpart 2 for Time-Limited Family Reunification Services.
Specify the total estimated amount of combined Federal and State or ITO funds to be spent during the fiscal year on IV-B, subpart 2 for Adoption Promotion and Support Services.
Specify the total estimated amount of combined Federal and State or ITO funds to be spent during the fiscal year on IV-B, subpart 2 for other service related activities (e.g. planning).
Specify the total estimated amount of combined Federal and State or ITO funds to be spent on Administration.
Enter the total of lines 6(a) + 6(b) + 6(c) + 6(d) + 6(e) + 6(f).
Requested Federal share of title IV-B, subpart 2 funds. Enter 75% of the amount on line 6(g).
Estimated State or ITO match. Enter 25% of the amount on line 6(g).
Indian Tribal Organizations Applying for title IV-B, subpart 2 funds.
Under title IV-B, subpart 2, when all the eligible ITO's do not claim their full allotment, funds become available for reallotment to other ITO's. For an ITO to claim a portion of these funds we must have on file a request from the tribe and an assurance of sufficient matching funds. If additional funds are requested indicate: the total amount, the Federal share (75%) and the ITO match (25%), in the spaces provided.
Child Abuse Prevention and Treatment Act (CAPTA), Basic State Grants Only.
Estimated CAPTA Basic State Grant allocation, as provided in the annual announcement on availability of funds. Supplemental funds may be available for distribution if there are States that are not awarded grant funds or there are unobligated funds available for redistribution. No matching is required for this grant.
Note: Pooled funding among the programs is not allowed, since separate funding streams and accountability are still required by statute. While the information on the programs may be consolidated into one Child and Family Services Plan (CFSP), eligibility and funding for the individual programs will be kept separate and funding will not be delayed for one program due to potential eligibility issues in the other program.
States must consolidate the Chafee Foster Care Independence Program application into the title IV-B CFSP to meet the requirements in 45 CFR 1357.16(a)(4) and section 477(b)(2) of title IV-E. Provide the total estimate of the State's share of the $137.9 million available in Federal funds. A State match of 20% is required.
Note: Pooled funding among the programs is not allowed, since separate funding streams and accountability are still required by statute. While the information on the programs may be consolidated into one Child and Family Services Plan (CFSP), eligibility and funding for the individual programs will be kept separate and funding will not be delayed for one program due to potential eligibility issues in the other program.
Certification: This report must be signed and dated in the spaces provided. The signature and title of the director of the State agency, or Indian Tribal Organization, with authority to administer or supervise the administration of title IV-B, subparts 1 and 2 programs, and for States only the CAPTA and ILP programs, must be included.
The tentative allocations are based on the premise that all States will apply for and receive the funds available to them. In the event that not all States apply for or receive their tentative allocations, those funds will be redistributed among eligible States, where permitted by statute. States receiving additional funds as a result of such a redistribution should submit information on the proposed use of such additional funds to the appropriate Regional Office of the Administration for Children and Families.
Obligation and Expenditure of CAPTA Funds. States have five-years from the date of the grant award to obligate and liquidate their State Grant funds. Under the CAPTA Amendments of 1996, there is no longer a penalty for States that do not obligate funds within 18 months from the date of the grant award beginning with the FY 1997 awards.
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
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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
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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
CFS-Instructions
Budget Request Form
CFS-101, Part II
Annual Summary of Child and Family
Services
