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Home > Laws & Policies > Policy/Program Issuances > Program Instructions > PI-08-03 > Attachement B: PART I: Annual Budget Request for Title IV-B, subparts 1 and 2, CAPTA, CFCIP and ETV Program Instructions

Attachment B

U.S. Department of Health and Human Services
Administration for Children and Families		 OMB Approval #0980-0047
Approved through October 31, 2008

CFS-101, PART I: Annual Budget Request for Title IV-B, subparts 1 and 2, CAPTA, CFCIP and ETV Program Instructions

Note: While the information on the programs are consolidated into one Child and Family Services Plan (CFSP), eligibility and expenditure reports for the individual programs are separate. Funding will not be delayed for one program due to potential eligibility issues in another program.

Complete separate forms for each fiscal year.

  1. Enter the name of the State or Indian Tribal Organization (ITO).
  2. Indicate the Employer Identification Number (EIN).
  3. Enter the address of the State or ITO Agency.
  4. Indicate if this is a new or revised budget request.

  5. Estimated title IV-B, subpart 1 funds:

    Specify the estimated amount of title IV-B, subpart 1 Federal funds that the State or ITO expects to spend for the designated fiscal year for Child Welfare Services.  The previous Federal Fiscal Year's (FFY) final allotment as provided in the annual Program Instruction on the Annual Progress and Services Report (APSR) is to be used as the estimated amount for the State's/Tribe's request.  A 25% match is required and the State or Tribe's match amount must be reflected on the final SF-269 report.

  6. Estimated title IV-B, subpart 2 funds:

    Specify the total estimated amount of title IV-B, subpart 2 Federal funds that the State or ITO expects to spend for the designated fiscal year for Promoting Safe and Stable Families services. The previous Federal Fiscal Year's (FFY) final allotment as provided in the annual Program Instruction on the APSR is to be used as the estimated amount for the State's/Tribe's request. A 25% match is required and the State or Tribe's match amount must be reflected on the final SF-269 report.

    a) Specify the estimated amount of title IV-B, subpart 2 funds to be spent for the designated fiscal year for Family Preservation Services.

    b) Specify the estimated amount of title IV-B, subpart 2 funds to be spent for the designated fiscal year for Family Support Services.

    c) Specify the estimated amount of title IV-B, subpart 2 funds to be spent for the designated fiscal year for Time-Limited Family Reunification Services.

    d) Specify the estimated amount of title IV-B, subpart 2 funds to be spent for the designated fiscal year for Adoption Promotion and Support Services.

    e)Specify the estimated amount of title IV-B, subpart 2 funds to be spent for the designated fiscal year for other service related activities (e.g. planning).

    f) Specify the estimated amount of title IV-B, subpart 2 funds to be spent for the designated fiscal year for Administration (not to exceed 10% of a State's estimated allotment).

    g) Specify the estimated amount of title IV-B, subpart 2 funds to be spent for the designated fiscal year for caseworker visits (States only).


  7. Re-allotment of title IV-B, Subpart 2 funds for State and Indian Tribal Organizations

    The Administration for Children and Families (ACF) is able to re-allot unneeded portions of State and Tribal allocations of title IV-B, subpart 2 funds to other States and eligible Indian Tribes so that the total appropriation remains available for program purposes.  In order for a State or ITO to be awarded a portion of these funds, or for funds to be released, ACF must have on file a request from the State or Indian Tribe for additional funds, or the release of funds.

    a) Indicate the amount of Federal funds that the State or Tribe does not expect to utilize for the upcoming fiscal year;

    b) Indicate the amount of Federal funds that the State or Tribe is requesting if additional funds become available.

  8. Child Abuse Prevention and Treatment Act (CAPTA) (States only).

    Indicate the State's estimated CAPTA State Grant allocation as provided in the annual Program Instruction on the APSR. No matching funds are required for this grant.

  9. Estimated Chafee Foster Care Independence Program (CFCIP) Funds (States only)

    Indicate the estimated amount of CFCIP funds that the State expects to spend during the fiscal year on independent living activities as described in the annual Program Instruction on the APSR. 

  10. Estimated Funds Allotted under Section 477 for the Education and Training Vouchers (ETV) Program (States only)

    Indicate the estimated amount of ETV funds that the State expects to spend during the fiscal year on education and training vouchers as described in the annual Program Instruction on the APSR.

  11. Re-allotment of CFCIP and/or ETV program funds for States

    The Administration for Children and Families (ACF) is able to re-allot unneeded portions of State allocations of CFCIP and ETV funds to other States so that the total appropriation remains available for program purposes.  In order for a State to be awarded portions of these funds, or for funds to be released, ACF must have on file a request from the State for additional funds, or the release of funds.

    a) Indicate the amount of funds that the State does not expect to utilize from its allotment during the upcoming fiscal year to carry out the CFCIP activities.

    b) Indicate the amount of funds that the State does not expect to utilize from its allotment during the upcoming fiscal year to carry out the ETV program activities.

    c) Indicate the amount of funds the State is requesting if additional funds become available for the CFCIP and/or ETV programs. A 20% State match is required.  The State match amount must be reflected on the final SF-269 report.

  12. 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, the CAPTA and CFCIP programs, must be included.

    The tentative allocations are based on the premise that all States and Indian Tribes will apply for and receive the funds available to them.  In the event that not all States or Indian Tribes apply for or receive their tentative allocations, those funds will be redistributed among eligible States and Indian Tribes, where permitted by statute.  States requesting additional funds in anticipation of such a redistribution should submit information on the proposed use of such additional funds to the appropriate Regional Office of the Administration for Children and Families in the State's/Tribe's APSR.

    When States or Tribes that have not applied for funds available to them in past fiscal year(s) decide to do so, depending upon the total amount of funds appropriated by Congress for the next fiscal year, there may be a reduction in the final distribution of funds.

    By signing this form the State/Tribal official assures that the State/Tribe will meet all applicable match requirements.

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Attachments

PI 08-03
HTML or PDF (141 KB)

Attachment A: FFY 2008 Allocation Tables:

(FFY 2009 Estimated Allotments for Monthly Caseworker Visits funds are pending and will be released shortly.)

Attachment B: CFS-101

Attachment C: Children's Bureau Sampling Strategy for Caseworker Visits Data
HTML or PDF (13 KB)

Attachment D: Assurances and Certificates
HTML or PDF (61 KB)

Attachment E: Children's Bureau Regional Program Managers
HTML or PDF (16 KB)

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