FY 2005 Tribal Application Plan Procedures for CCDF Grantees

Index: Cover Letter | ACYF-PI-CC-04-04 | Child Count Declaration | Tribal Estimates | ACF Regional Administrators | (Collection available in Word and PDF)

Related Items: FY 2004 Application and Plan Procedures for 102-477 Grantees | CCDF Construction and Renovation Procedures for Tribal Lead Agencies

Attachment A (Also available in Word and PDF)

CHILD COUNT DECLARATION

Name of Tribal Lead Agency: ________________________________________

This certifies that the number of Indian children under age 13 (as defined in Appendix 2, #2) who reside on or near the reservation or service area (as defined in Appendix 2, #3) 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