Home > Laws & Policies > Policy/Program Issuances > Program Instructions > PI-09-07 > Attachment G: Certification of Tribal Population Under Age 21

Attachment G

CERTIFICATION OF TRIBAL POPULATION UNDER AGE 21

The _______________________________________________________ (Tribal Name and State) finds that the Census Bureau year 2000 under age 21 population for Tribes data do not accurately reflect the actual number of children in our Tribe.

The correct number of Tribal members under age 21 is ___________________ .

The reason that our population number is different from the Census Bureau is: (attach additional page(s) if necessary)

 

 

 

 

 

We understand that information given above will be reviewed by ACF and that we may be required to submit additional supporting documentation as requested by ACF to substantiate this notification of change in population data.

We are submitting this information and certify that it is accurate and true to the best of our knowledge and belief. This certification requires the signatures of both the Tribal enrollment coordinator and Tribal leader responsible for ACF programs.

__________________________

Tribal Enrollment Coordinator

__________________________

Date

__________________________

Tribal Leader

__________________________

Date

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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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