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Attachment C

Ongoing Assurances

Federal regulations require that the following assurances be submitted and be in effect on an ongoing basis. The (ITO) makes the following assurances with the understanding that they will be amended when significant changes are made in these areas.

  1. ________________________________________has been designated as the single organizational unit in the ITO which will be responsible for furnishing the child welfare services included in the title IV-B plan (to the extent that ITO agency staff will also provide child welfare services).

  2. Procedures have been established to coordinate between services provided for children under title IV-B and the services and assistance provided under the relevant approved title XX plan and any ITO programs having a relationship to title IV-B child welfare services.

  3. Standards and requirements imposed with respect to child care under title XX shall apply with respect to day care services, if provided under the title IV-B plan, except insofar as eligibility for such services is involved.

  4. The plan for training and use of paid paraprofessional staff, with particular emphasis on the full-time or part-time employment of low-income persons, as community aides is as follows:

  5. The plan for use of nonpaid or partially paid volunteers in providing services and in assisting any advisory committees established by the ITO is as follows:

  6. The plan for the use of the facilities and experience of voluntary agencies in the development of services for children, in accordance with ITO programs and arrangements, as authorized by the ITO is as follows:

  7. (ITO) will provide such reports, containing such information, and participate in such evaluations, as the Secretary of HHS may require.

DATE: ________________________________________
CERTIFIED BY: ________________________________________
TITLE: ________________________________________
ITO: ________________________________________
DATE: ________________________________________
APPROVED BY: ________________________________________
TITLE: ________________________________________
HHS/RO: ________________________________________

ATTACHMENTS

Attachment A-    Addresses and Telephone Numbers of HHS Regional Offices
Attachment B-    Indian Tribal Organization Title IV-B Child Welfare Services Plan
Attachment D-    Annual Budget Request for Title IV-B Funds   (Note:This attachment is not available)
Attachment E-    Annual Summary of Child Welfare Services   (Note:This attachment is not available)