Attachment C
| U.S. Department of Health and Human Services Administration for Children and Families |
OMB Approval #0980-0047 Approved through October 31, 2008 |
INSTRUCTIONS
CFS-101, PART II: ANNUAL SUMMARY OF CHILD AND FAMILY SERVICES
(Complete separate forms for each fiscal year)
This form summarizes the State Agency's and eligible Indian Tribal Organizations' estimated expenditures on Child and Family Services programs, including the Child Abuse Treatment and Prevention Act (CAPTA) programs, the Chafee Foster Care Independence Program (CFCIP) and Education and Training Vouchers (ETV) for the next year. This information is an integral part of the State Child and Family Services Plan and should be discussed by the ACF Regional Office and State Agency representatives. States should list estimated Federal expenditures and other information in the category that best fits their programs.
Services/Activities
For each of the services/activities listed, indicate in the appropriate columns the estimated Federal expenditures by program, the estimated number of clients to be served, the population to be served and the geographic area to be served.
1. Prevention and Support Services (Family Support):
Community-based services which promote the well-being of children and families and are designed to increase the strength and stability of families (including adoptive, foster, and extended families), to increase parents' confidence and competence in their parenting abilities, to afford children a stable and supportive family environment, and to enhance child development. These services may include respite care for parents and other caregivers; early developmental screening of children to assess the needs of these children and assistance in obtaining specific services to meet their needs; mentoring, tutoring, and health education for youth; a range of center-based activities (informal interactions in drop-in centers, parent support groups); services designed to increase parenting skills; and counseling and home visiting activities.
2. Protective Services:
Services designed to prevent or remedy the abuse, neglect, or exploitation of children. Services include investigation and emergency medical services, emergency shelter, legal action, developing case plans, counseling, assessment/evaluation of family circumstances, arranging alternative living arrangements, preparing for foster placement, if needed, and case management and referral to service providers.
3. Crisis Intervention (Family Preservation):
Services for children and families designed to help families (including adoptive and extended families) at risk or in crisis. Allowable services include:
- Pre-Placement Prevention Services to prevent family disruption and unnecessary removal of children from their homes (as appropriate). These services may include intensive family preservation, post-adoptive support services, case management, counseling, day care, respite services, homemaker services, services designed to increase parenting skills, family budgeting, coping with stress, health, and nutrition.
- Reunification Services to help children, where appropriate, return to families from which they have been removed, or be placed for adoption or legal guardianship. These services may include day care services, homemaker or caretaker services, family or individual counseling for parent(s) and child, follow-up care for families to whom a child has been returned after placement and other reunification services the State identifies as necessary.
4. Time-Limited Family Reunification Services:
Services and activities that are provided to a child who is removed from the child's home and placed in a foster family home or a child care institution, and to the parents or primary caregiver of such a child, in order to facilitate the reunification of the child safely and appropriately within a timely fashion, but only during the 15-month period that begins on the date that the child, pursuant to section 475(5)(F), is considered to have entered foster care. The services and activities are the following:
- Individual, group, and family counseling.
- Inpatient, residential, or outpatient substance abuse treatment services.
- Mental health services.
- Assistance to address domestic violence.
- Services designed to provide temporary child care and therapeutic services for families, including crisis nurseries.
- Transportation to or from any of the services and activities described above.
5. Adoption Promotion and Support Services:
Services and activities designed to encourage more adoptions out of the foster care system, when adoptions promote the best interests of children, including such activities as pre- and post-adoptive services and activities designed to expedite the adoption process and support adoptive families.
6. Foster Care Maintenance:
This includes estimated State expenditures for "room and board" for children/youth in foster care. State expenditures of non-Federal funds for foster care maintenance payments shall not be considered to be expenditures under the State plan developed under title IV-B, subpart 1 for the fiscal year to the extent that the total of such expenditures for the fiscal year exceeds the total of such expenditures under the State plan developed under this subpart for fiscal year 2005.
Foster Family and Relative Foster Care:
Payments to cover the cost of, and cost of providing, food, clothing, shelter, daily supervision, school supplies, a child's personal incidentals, liability insurance with respect to a child, and reasonable travel to the child's home for visitation.
Group/Institutional Care:
This includes the reasonable costs of administration and the operation of institutional/group home care that are required to provide food, clothing, shelter, daily supervision, school supplies, a child's personal incidentals, liability insurance with respect to a child, and reasonable travel to the child's home for visitation; and the cost of the items themselves.
7. Adoption Subsidy Payments:
Funds provided to adoptive parents on a recurring and non-recurring basis to assist in the support of special needs children.
8. Independent Living Services:
Services designed to help youth expected to remain in foster care until the age of 18, and former foster care recipients between 18 and 21 years of age, make the transition to self-sufficiency. Services may include: education, career exploration, vocational training, job placement and retention, training in daily living skills, training in budgeting and financial management skills, substance abuse prevention, and preventive health activities.
States are allowed to expend up to 30 percent of their allotments under the Chafee Foster Care Independence Program for room and board (including rental deposits, utilities and other expenses that may be included with rent) for children who have left foster care because they have attained 18 years of age, and who have not yet attained 21 years of age.
Include the amount of funds the State plans to utilize for the Education and Training Vouchers (ETV) program in this line item under column (e).
9. Education and Training Vouchers:
Include the amount of funds the State plans to utilize for the Education and Training Vouchers (ETV) program in this line item under column (e).
10. Administrative Costs:
Includes supervisors and staff whose activities support child welfare services and which cannot be allocated under other services/activities. Also, includes administrative costs for family preservation, family support, time-limited family reunification, and adoption promotion and support, which are not more than ten percent of Federal expenditures under title IV-B, subpart 1 (applies to States and Tribes) or not more than ten percent of total expenditures under title IV-B, subpart 2 (for States only) of the plan for the fiscal year. Allowable costs may include, but are not limited to, procurement, payroll processing, personnel functions, management, maintenance and operation of space and property, data processing and computer services, accounting, budgeting, auditing, travel expenses (except those related to the provision of services by caseworkers or the oversight of programs funded under Title IV-B, subpart 1), and indirect costs allocable in accordance with the agency's approved cost allocation plan (See 45 CFR 1357.32(h)).
11. Staff Training:
Includes the cost of short and long-term training to increase staff's ability to provide assistance and support to children and families, but does NOT include the costs specifically related to supporting the monthly caseworker visit requirement (see #14 below).
12. Foster Parent Training and Recruitment:
Includes the cost of short-term training to increase foster parent's ability to provide assistance and support to foster and adoptive children, and those costs associated with/resulting from the recruitment of potential foster parents. (Note: CAPTA funds for Foster Parent Training and Recruitment should only be used for services to facilitate adoptive placement of infants who have been relinquished for adoption).
13. Adoptive Parent Training and Recruitment:
Includes the cost of short-term training to increase adoptive parent's ability to provide assistance and support to foster and adoptive children, and those costs associated with/from the recruitment of potential adoptive parents. (Note: CAPTA funds for Adoptive Parent Training and Recruitment should only be used for services to facilitate adoptive placement of infants who have been relinquished for adoption).
14. Child Care Related to Employment/Training:
Includes licensed day care purchased for the purpose of supporting the employment of one or both of the parents.
15. Monthly Caseworker Visits:
Includes costs related to supporting monthly caseworker visits with children who are in foster care under the responsibility of the State, with a primary emphasis on activities designed to improve caseworker retention, recruitment and ability to access the benefits of technology.
16. Total:
The total amount of funds estimated for the year (equal to the sum of lines 1 through 14) for each column.
Estimated Expenditures
1. Federal Funds (columns a - f)
Indicate for each service/activity the estimated amount of Federal funds to be expended by the State Agency for each program identified in columns (a)-(f).
2. State, Local and Donated Funds (column g)
Indicate the estimated amount of State, local and donated funds to be expended, even if they are not used to match Federal funds.
3. Estimated Number of Clients to be Served (column h)
Estimate, as accurately as possible, the number of clients to be served service/activity with the total estimated funding indicated. Indicate both the number of individuals and the number of families served as labeled in column (h).
4. Population to be Served (column i)
Indicate the population that has been targeted for the designated services. Targeting may include a range of vulnerable populations such as:
- Children at imminent risk of placement;
- All children in foster care;
- Families with children returning home following placement;
- All eligible children, eligible children under 21 years, or eligible children requiring treatment;
- Families with a child abuse or neglect investigation;
- Children in contracted care; or
- Families in crisis
5. Geographic Area to be Served (column j)
Indicate both the number and type of areas identified within the State where services are to be provided for each program. Areas may include specific regions, counties, cities, reservations, communities, census tracts, or neighborhoods. For example, if the State is operating family preservation programs in six counties, indicate by noting "6 counties"; if the State is operating 12 community-based family support programs, indicate by noting "12 communities".
Attachments
PI 07-05: HTML or PDF (221 KB)
| Attachment A: FY 2007 Allocations: |
1) Title IV-B, Subpart 1, Child Welfare Services (CWS) 2) Title IV-B, Subpart 2, Promoting Safe and Stable Families (PSSF) a) 2006 State allocation for Caseworker Visits 3) Child Abuse and Neglect Prevention and Treatment Act (CAPTA) 4) Chafee Foster Care Independence Program (CFCIP) 5) Education and Training Vouchers (ETV) |
| Attachment B: FY 2008 Estimated Allotments |
Chafee Foster Care Independence Program (CFCIP) |
| Attachment C: CFS-101, |
Part I: Annual Budget Request for Title IV-B, Subparts 1 and 2, CAPTA, Chafee Foster Care Independence (CFCIP) and Education and Training Vouchers (ETV) Program Instructions Part II: Annual Summary of Child and Family Services Instructions Part II: Annual Summary of Child and Family Services Form Part III: Annual Expenditures Title IV-B, Subparts 1 and 2, CFCIP, and ETV Program: |
| Attachment D: | |
| Attachment E: |
Children's Bureau Regional Program Managers |
