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Home > Laws & Policies > Policy/Program Issuances > Program Instructions > PI-09-07 > Attachement D: CFS-101, PART II: Annual Estimated Expenditure Summary of Child and Family Services

Attachment D

U.S. Department of Health and Human Services
Administration for Children and Families		 OMB Approval #0980-0047
Approved through July 31, 2011

CFS-101, PART II: Annual Estimated Expenditure Summary of Child and Family Services

State or Indian Tribal Organizatio (ITO) ___________________________________________ For FFY OCTOBER, ____ TO SEPTEMBER 30, ____

Services/Activities

TITLE IV-B

(9)
CAPTA*

(e)
CFCIP*

(f)
ETV*

(g)
TITLE IV-E

(h)
State Local Donated Funds

(i)
Number to be Served

(j)
Population to be Served

(k)
Geog. Area to be Served

(a)
Subpart I-CWS

(b)
Subpart II-PSSF

(b)
Subpart II- MCV *

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) For Other Service Related Activities (e.g. planning)

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7) Foster Care Maintenance:

(A) Foster Family & Relative Foster Care

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(B) Group/Inst. Care

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8) Adoption Subsidy Pmts.

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9) Guardiansihp Assist. Pmts.

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10) Independent Living Services

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11) Education and Training Vouchers

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12) Administrative Costs

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13) Staff & External Partners Training

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14) Foster Parent Recruitment & Training

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15) Adoptive Parent Recruitment & Training

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16) Child Care Related to Employment/Training

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17) Monthly Casewoker Visits

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18) Total

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

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Attachments

Attachment A:

Fiscal Year 2009 Allotment Title IV-B Subpart 1 - Stephanie Tubbs Jones Child Welfare Services
HTML or PDF (23 KB)

Fiscal Year 2009 Allotment Title IV-E Subpart 2 - Promoting Safe and Stable Families
HTML or PDF (14 KB)

Attachment B:

Current variances in the Title IV-B Provisions of Law and Regulations
HTML or PDF (29 KB)

Attachment C:

Stephanie Tubbs Jones Child Welfare Services Program (title IV-B, subpart 1) Assurances
HTML or PDF (47 KB)

Promoting Safe and Stable Families (title IV-B, subpart 2) Assurances
HTML or PDF (47 KB)

Certifications for the Chafee Foster Care Independence Program
HTML or PDF (47 KB)

Tribal Leader's Certification for the Education and Training Voucher Program/Chafee Foster Care Independence Program
HTML or PDF (47 KB)

Attachment D:

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 Voucher (ETV) Program Instructions
HTML or PDF (14 KB)

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 Voucher (ETV) Program Form
HTML or PDF (42 KB)

CFS-101, Part II: Annual Summary of Child and Family Services Instructions
HTML or PDF (33 KB)

CFS-101, Part II: Annual Summary of Child and Family Services Form
HTML or PDF (33 KB)

CFS-101, Part III: Annual Expenditures for Title IV-B, Subparts 1 and 2, CAPTA, Chafee Foster Care Independence (CFCIP) and Education and Training Voucher (ETV) Instructions
HTML PDF (17 KB)

CFS-101, Part III: Annual Expenditures for Title IV-B, Subparts 1 and 2, CAPTA, Chafee Foster Care Independence (CFCIP) and Education and Training Voucher (ETV) Form
HTML or PDF (33 KB)

Attachment E:

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

Attachment F:

Information for Tribes on Title IV-E Training Plans
HTML or PDF (16 KB)

Attachment G:

Certification of Tribal Population Under Age 21
HTML or PDF (16 KB)

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