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Attachment E

CFS-101, PART II: ANNUAL SUMMARY OF CHILD AND FAMILY SERVICES

OMB APPROVAL # 0980-0047
Approved Through 5/31/2002

State or IT ___________________________________________ For FFY OCTOBER 2, ____ TO SEPTEMBER 30, ____ DUE JUNE 30, ____

                   

(k)

NUMBER TO BE SERVED


[ ] Families

[ ]
Individuals

(l)

POP.

TO BE SERVED

(m)

GEOG.

AREA

TO BE

SERVED

SERVICES/ACTIVITIES

TITLE IV-B

(c)
CAPTA*

(d)
CFCIP*

(e)
TITLE IV-E

(f)
TITLE XX(SSBG)

(g)
TITLE IV-A

(h)

Title XIX
(Medicaid)

(i)
Other Fed Prog

(j)

State Local Donated Funds

     
 

(a)

I-CWS

(b)

II-PSSF

                     

1) PREVENTION & SUPPORT SERVICES (FAMILY SUPPORT)

                     

Reports of abuse/neglect

Statewide/
Reservation

2) PROTECTIVE SERVICES

                         

3) CRISIS INTERVENTION (FAMILY PRESERVATION)

                         

(A) PREPLACEMENT PREVENTION

                     

All Children in foster care

Statewide/ Reservation

(B)REUNIFICATION SERVICES

                         

4. TIME-LIMITED FAMILY REUNIFICATION

                         

5. ADOPTION PROMOTION AND SUPPORT SERVICES

                   

All egligible children

Statewide/ Reservation

6) FOSTER CARE MAINTENANCE:
(A) FOSTER FAMILY & RELATIVE FOSTER CARE
                         

(B) GROUP/INST CARE

                       

Statewide/ Reservation

7) ADOPTION SUBSIDY PMTS.

                         

8) INDEPENDENT LIVING SERVICES

                         

9) ADMIN & MGMT

                         

10) STAFF TRAINING

                         

11) FOSTER PARENT RECRUITMENT & TRAINING

                         

12) ADOPTIVE PARENT RECRUITMENT & TRAINING

                         

13) CHILD CARE RELATED TO EMPLOYMENT TRAINING

                         

14) TOTAL

                         

* State only, Indian Tribes are not required to include information on these programs.

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-Instructions

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

Attachment F: ACF Regional Administrators and Hub Directors