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Attachment D

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

OMB APPROVAL # 0980-0047 Approved through: 07/31/2005

State or IT __________________________________ For FFY OCTOBER, ____ TO SEPTEMBER 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(TANF)	(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 Services
5.) Adoption Promotion and Support Services												All eligible 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

* States Only, Indian Tribes are not required to include information on these programs

Attachments

PI-02-05

• Attachment A: Healthy Marriages and Responsible Fatherhood Initiative
• Attachment B: Title IV-B, CAPTA, CFCIP FY 2002 Allotments
  
  • Final FY 2002 Title IV-B, Subpart 1 State Child Welfare Services Allotments
  • FY 2002 Title IV-B, Subpart 1 Indian Tribe Child Welfare Services Allotments
  • Final FY 2002 Title IV-B, Subpart 2, Promoting Safe and Stable Families State Allotments
  • Final FY 2002 Title IV-B, Subpart 2, Promoting Safe and Stable Families Indian Tribe Allotments
  • Final FY 2002 Child Abuse and Neglect (CAPTA) Allotments After Reallotment
  • Final FY 2002 Allotments Chafee Foster Care Independence Program
• Attachment C: CFCIP FY 2003 Estimated Allotments
• Attachment D: CFS 101, Part I, Annual Budget Request and Part II, Annual Summary of Child and Family Services
  
  • CFS-101 Instructions
  • CFS-101, Part I: Annual Budget Request for Title IV-B, Subparts 1 and 2, CAPTA and Chafee Foster Care Independence Program Instructions
  • CFS-101, Part II: Annual Summary of Child and Family Services
  • CFS-101, Part II: Annual Summary of Child and Family Services Instructions
• Attachment E: Title IV-B State Plan Assurances
• Attachment F: Certifications (This link opens a new browser window to an external Web site. To return to Children's Bureau Web site, close the new window.)
• Attachment G: ACF Regional Administrators and Hub Directors (This link opens a new browser window to an external Web site. To return to Children's Bureau Web site, close the new window.)