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Home > Laws & Policies > Policy/Program Issuances > Program Instructions > PI-08-03 > Attachment B: 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

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 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 2006 grant allocation has an expenditure period from October 1, 2005 to September 30, 2007. Therefore, any fiscal year 2006 funds must be obligated during this two year period of time and subsequently reported on this form.

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.

  1. State or ITO: Enter the name of the State or Indian Tribal Organization (ITO).
  2. EIN: Indicate the Employer Identification Number (EIN).
  3. Address: Enter the address of the State or ITO Agency.
  4. Submission: Indicate if this is a new or revised budget request.
  5. Total title IV-B, subpart 1 funds: Indicate the estimated allotment and actual expenditures of title IV-B, subpart 1 Federal funds for the designated fiscal year for Child Welfare Services. Indicate as accurately as possible, the number of individuals and the number of families served, the population served, and the geographic area where services were provided. The required 25% match should not be reflected on this form.
    1. Specify the estimated allotment and actual expenditures of title IV-B, subpart 1 funds for administration. Note that administrative costs may not exceed 10% of the total title IV-B, subpart 1 allotment.
  6. 6. Total title IV-B, subpart 2 funds: Indicate the estimated allotment and actual expenditures of title IV-B, subpart 2 funds for the designated fiscal year for Promoting Safe and Stable Families services. The required 25% match should not be reflected on this form.
    1. Indicate the estimated allotment and actual expenditures of title IV-B, subpart 2 funds for the designated fiscal year for Family Preservation Services. Indicate as accurately as possible, the number of individuals and the number of families served,1 the population served,2 and the geographic area where services were provided.3 Note that these funds may be spent over a two-year period ending on September 30 of the fiscal year following the year in which they were awarded.
    2. Indicate 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 individuals and the number of families served, the population served, and the geographic area where services were provided. Note that these funds may be spent over a two-year period ending on September 30 of the fiscal year following the year in which they were awarded.
    3. Indicate 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 individuals and the number of families served, the population served, and the geographic area where services were provided. Note that these funds may be spent over a two-year period ending on September 30 of the fiscal year following the year in which they were awarded.
    4. Indicate the estimated and actual expenditures of title IV-B, subpart 2 funds allotted for the designated fiscal year for Adoption Promotion and Support Services. Indicate as accurately as possible, the number of individuals and the number of families served, the population served, and the geographic area where services were provided. 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.
    5. Indicate 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 fiscal year following the year in which they were awarded.
    6. For States only: Indicate the estimated and actual expenditures of title IV-B, subpart 2 funds allotted for the designated fiscal year for monthly caseworker visits. Note that these funds must be obligated by September 30, 2009.
    7. Indicate 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 fiscal year following the year in which they were awarded. Beginning in FFY 2008, States' administrative costs may not exceed 10% of the estimated allotment for title IV-B, subpart 2. (This limitation does not apply to Tribes.)
  7. Total Chafee Foster Care Independence Program (CFCIP) Funds (States only): Indicate the estimated and actual expenditures of CFCIP funds allotted for the designated fiscal year for independent living activities as provided in the APSR Program Instruction.
    1. At State option, indicate 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 funds). Note that these funds may be spent over a two-year period ending on September 30 of the fiscal year following they year 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.
  8. Total funds allotted under Section 477 for the Education and Training Vouchers (ETV) Program (States only): Indicate 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, the population served, and the geographic area where services were provided.
  9. Certification: This report must be signed and dated in the spaces provided. The signature and title must be included 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, CFCIP, and ETV programs.

By signing this form the State/Tribal official certifies that all figures provided here are accurate.

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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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1 Report, as accurately as possible, the number of clients served per service/activity for the amount of funds expended. Indicate the number of individuals and the number of families served as labeled in the column. (back)
2 Indicate the population that has received the designated services. This 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, and/or families in crisis. (back)
3 Indicate 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. (back)