| U.S. Department of Health and Human Services Administration for Children and Families |
Attachment C |
Instructions
CFS-101, Part III: Expenditures for Title IV-B, Subparts 1 and 2, Chafee Foster Care Independence (CFCIP) and Education and Training Voucher (ETV) Programs
Note: Funds for the four programs above are awarded to States on a yearly basis, but may be spent over a two-year period ending on September 30 of the year following the year in which they were awarded. For example, the FY 2005 grant allocation has an expenditure period from October 1, 2004 to September 30, 2006. Therefore, any fiscal year 2005 funds must be spent during this two year period of time and subsequently reported on this form.
- Enter the name of the State or Indian Tribal Organization (ITO).
- Indicate the Employer Identification Number (EIN).
- Enter the address of the State or ITO Agency.
- Indicate if this is a new or revised expenditures
report.
Most figures in the "estimate" column can be found in a State's/Tribe's previously approved CFS 101 - Part I for the fiscal year being reported on.
- Total title IV-B, subpart 1 funds:
Indicate both the estimated and actual expenditures of title IV-B, subpart 1 Federal funds allotted for the designated fiscal year for Child Welfare Services. Indicate as accurately as possible, the number of clients served. Indicate both the number of individuals and the number of families served, the population served and the geographic area where services were provided. The required 25% State match should not be reflected on this form.
- Total title IV-B, subpart 2 funds:
Indicate both the estimated and actual expenditures of title IV-B, subpart 2 Federal funds allotted for the designated fiscal year for Promoting Safe and Stable Families services. The required 25% match should not be reflected on this form.
a) Indicate both the estimated and actual expenditures of title IV-B, subpart 2 funds allotted for the designated fiscal year for Family Preservation Services. Indicate as accurately as possible, the number of clients served, indicate both the number of individuals and the number of families served*, the population served* and the geographic area where services were provided*.
b) Indicate both the estimated and actual expenditures of title IV-B, subpart 2 funds allotted for the designated fiscal year for Family Support Services. Indicate as accurately as possible, the number of clients served (Indicate both the number of individuals and the number of families served), the population served and the geographic area where services were provided.
c) Indicate both the estimated and actual expenditures of title IV-B, subpart 2 funds allotted for the designated fiscal year for Time-Limited Family Reunification Services. Indicate as accurately as possible, the number of clients served (Indicate both the number of individuals and the number of families served), the population served and the geographic area where services were provided.
d) Indicate both the estimated and actual expenditures of title IV-B, subpart 2 funds allotted for the designated fiscal year for Adoption Promotion and Support Services. Note that these funds may be spent over a two-year period ending on September 30 of the year following that in which they were awarded. Indicate as accurately as possible, the number of clients served (Indicate both the number of individuals and the number of families served), the population served and the geographic area where services were provided.
e) Indicate both the estimated and actual expenditures of title IV-B, subpart 2 funds allotted for the designated fiscal year for other service related activities (e.g. planning). Note that these funds may be spent over a two-year period ending on September 30 of the year following that in which they were awarded.
f) Indicate both the estimated and actual expenditures of title IV-B, subpart 2 funds allotted for the designated fiscal year for Administrative Costs. Note that these funds may be spent over a two-year period ending on September 30 of the year following that in which they were awarded.
- Total Chafee Foster Care Independence Program (CFCIP) Funds (States
only)
Indicate both the estimated and actual expenditures of CFCIP funds allotted for the designated fiscal year for independent living activities as provided in the annual Program Instruction on the APSR.
a) Indicate both the estimated and actual expenditures of the State's allotment for the designated fiscal year for room and board for eligible youth (not to exceed 30% of CFCIP. Note that these funds may be spent over a two-year period ending on September 30 of the year following that in which they were awarded. Indicate as accurately as possible, the number of clients served, the population served and the geographic area where services were provided.
- Total funds allotted under Section 477 for the Education and Training Vouchers (ETV) Program (States only)
Indicate both the estimated and actual expenditures of Education and Training Voucher funds allotted for the designated fiscal year as provided in the annual Program Instruction on the APSR. Indicate as accurately as possible, the number of clients served (indicate both the number of individuals), the population served and the geographic area where services were provided.
- Certification: This report must be signed and dated in the spaces provided. The signature and title of the official 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, and CFCIP programs, must be included.
*Estimated Number of Clients to be Served: Estimate, as accurately as possible, the number of clients served per service/activity with the total estimated funding indicated. Indicate both the number of individuals and the number of families served as labeled in the column.
*Population to be Served: 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
By signing this form the State/Tribal official certifies that all figures provided here are accurate.
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 |
