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ACF-800 Form

Published: October 7, 2013
Categories:
Program Administration, Child Care Development Fund (CCDF) Reporting
Topics:
ACF-800, Current Guidance, States/Territories
Types:
Program Instructions
Tags:
Current Guidance

ACF-800 Form

Child Care and Development Fund Annual Aggregate Report

ACF-800 Form
CHILD CARE AND DEVELOPMENT FUND ANNUAL AGGREGATE REPORT (ACF-800) (Effective for FFY 2010 and Subsequent Reports)
OMB Approval Number: 0970-0150
FOR SERVICES PROVIDED FROM __________________ THROUGH_______________
Expires: 06/30/2015
Complete Grantee Name:   CATEGORY/TYPE OF CHILD CARE

Address: Street Address, City, State, Zipcode
  CARE PROVIDED BY A LICENSED OR REGULATED PROVIDER IN A CARE PROVIDED BY A LEGALLY OPERATING PROVIDER (LICENSE CATEGORY UNAVAILABLE IN A STATE OR LOCALITY) IN A
            CHILD’S HOME BY A FAMILY HOME BY A GROUP HOME BY A  
Contact Person, Phone & Email: ( A )
TOTAL
( B )
Child’s Home
( C )
Family Home
( D )
Group Home
( E )
Center
( F )
Relative
( G )
Non-Relative
( H )
Relative
( I )
Non-Relative
( J )
Relative
( K )
Non-Relative
( L )
Center
Number Served:
1. Number of families receiving child care services    
2. Number of children receiving child care services                        
3a. Does the State claim public pre-kindergarten expenditures on CCDF-eligible children as State CCDF Match? Y [  ]
N [  ]
 
 
3b. Does the State claim public pre-kindergarten expenditures on CCDF-eligible children as State CCDF MOE? Y [  ]
N [  ]
 
 
4. If yes to 3a or 3b, indicate the estimated number of CCDF eligible children receiving public pre-kindergarten services for which CCDF Match or MOE is claimed.    
Payment Methods:
5. Number of children served through grants or contracts                        
6. Number of children receiving child care services through certificates and/or cash                        
7. Of children served through certificates, number of children served through cash payments directly to parents (only)                        
Provider Information:
8. Number of child care providers receiving CCDF funding by type of care                        
Consumer Education:
9a. Estimated number of families receiving consumer education    
9b. How is the estimated number of families receiving consumer education determined?  
10. Indicate the Content Used on a Regular Basis:
10a. Information about use of certificates, grants or contracts Y [  ]
N [  ]
 
 
10b. Information for locating legally operating child care providers, and/or lists of legally operating child care providers Y [  ]
N [  ]
 
 
10c. Information about types and quality of child care Y [  ]
N [  ]
 
 
10d. Information about health and safety requirements Y [  ]
N [  ]
 
 
Pooling Factor:
12. Is this report based on pooled CCDF and non-CCDF funds? Y [  ]
N [  ]
 
13. If this report is based on pooled CCDF and non-CCDF funds, what is the percent of funds which are CCDF?  
14. If this report is based on pooled CCDF and non-CCDF funds, please indicate which non-CCDF funds are included in the pool.  
14a. Title XX (Social Services Block Grant, SSBG) Y [  ]   N [  ] 
14b. State-only child care funds (in excess of State funds used to meet CCDF Match and MOE requirements) Y [  ]   N [  ] 
14c. TANF direct funds for child care not transferred into CCDF Y [  ]   N [  ] 
14d. Title IV-B or IV-E funds Y [  ]   N [  ] 
14e. Supplemental Nutrition Assistance Program (formerly Food Stamps) Y [  ]   N [  ] 
14f. Other: (Please specify other non-CCDF funds included in the pool) Y [  ]   N [  ] 

 

 

 

 

 

 

 

Other: (Optional)
15. Please enter explanatory comments regarding any of the data elements as appropriate.  
16. Please attach any reports, materials, information developed as a result of the use of CCDF quality funds.  

 

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