FY 2003 Procedures for 102-477 Grantees

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Related Items: ACF Regional Administrators | FY 2003 Application Procedures for CCDF Grantees | FY 2002 Procedures for 102-477 Grantees

This certifies that the number of Indian children under age 13 (as defined in the CCDF section of the 102-477 plan) who reside on or near the reservation or service area (as defined in the CCDF section of the 102-477 plan) is: .
_______________________________.
number

This count shows the number of Indian children under age 13 as of
_______________________________.
date

__________________________________
Signature of Individual Authorized to
Act for the Tribe