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Home > Laws & Policies > Policy/Program Issuances > Program Instructions > PI-07-05 > Attachment C: Part II: Summary Form

Attachment C

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

OMB Approval #0980-0047
Approved through October 31, 2008

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

SERVICES/ACTIVITIES

TITLE IV-B

(c)
CAPTA*

(d)
CFCIP*

(e)
ETV*

(f)
TITLE IV-E

(g)
State Local Donated Funds

(h)
NUMBER TO BE SERVED

(i)
POPULATION TO BE SERVED

(j)
GEOG. AREA TO BE SERVED
(Include both # and type of areas to be served)

(a)
I-CWS

(b)
II-PSSF

Individuals

Families

1) PREVENTION & SUPPORT SERVICES (FAMILY SUPPORT)

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2) PROTECTIVE SERVICES

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3) CRISIS INTERVENTION (FAMILY PRESERVATION)

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4)TIME-LIMITED FAMILY REUNIFICATION SERVICES

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5.) ADOPTION PROMOTION AND SUPPORT SERVICES

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6) FOSTER CARE MAINTENANCE:

(A) FOSTER FAMILY & RELATIVE FOSTER CARE

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(B) GROUP/INST CARE

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7) ADOPTION SUBSIDY PMTS.

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8) INDEPENDENT LIVING SERVICES

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9) EDUCATION AND TRAINING VOUCHERS

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10) ADMINISTRATIVE COSTS

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11) STAFF TRAINING

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12) FOSTER PARENT RECRUITMENT & TRAINING

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13) ADOPTIVE PARENT RECRUITMENT & TRAINING

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14) CHILD CARE RELATED TO EMPLOYMENT/TRAINING

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15) MONTHLY CASEWORKER VISITS

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16) TOTAL

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

 

Attachments

PI 07-05: HTML or PDF (221 KB)

Attachment A: FY 2007 Allocations:

1) Title IV-B, Subpart 1, Child Welfare Services (CWS)
HTML or PDF (30 KB)

2) Title IV-B, Subpart 2, Promoting Safe and Stable Families (PSSF)
HTML or PDF (30 KB)

a) 2006 State allocation for Caseworker Visits
HTML or PDF (36 KB)

3) Child Abuse and Neglect Prevention and Treatment Act (CAPTA)
HTML or PDF (30 KB)

4) Chafee Foster Care Independence Program (CFCIP)
HTML or PDF (30 KB)

5) Education and Training Vouchers (ETV)
HTML or PDF (30 KB)
Attachment B: FY 2008 Estimated Allotments

Chafee Foster Care Independence Program (CFCIP)
HTML or PDF (33 KB)

Education and Training Vouchers (ETV)
HTML or PDF (33 KB)
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
HTML or PDF (19 KB)

Part II: Annual Summary of Child and Family Services Instructions
HTML or PDF (24 KB)

Part II: Annual Summary of Child and Family Services Form
HTML or PDF (25 KB)

Part III: Annual Expenditures Title IV-B, Subparts 1 and 2, CFCIP, and ETV Program:
Instructions - HTML or PDF (17 KB)
Form - HTML or PDF (18 KB)
Attachment D:

Assurances and Certificates
HTML or PDF (39 KB)
Attachment E:

Children's Bureau Regional Program Managers
HTML or PDF (75 KB)