State TANF and MOE Annual Reports

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Annual Report on State TANF/MOE Programs - 2004
Pennsylvania

Dear Mr. Shelbourne:

I am pleased to submit Pennsylvania's Annual Report on Temporary Assistance for Needy Families (TANF) and State Maintenance of Effort Programs. The report has been developed in accordance with Annual Report requirements under 45 CFR §§265.9 and 265.10.

I appreciate your support for Pennsylvania’s TANF Program. If you have any questions or need further clarification on any entry, please contact me at (717) 787-4081.

Sincerely,

Edward J. Zogby
Director
Bureau of Policy

Enclosures

cc: Ms. Peg Montgomery
bcc: OIM Executive Staff
Ms. Richman
Ms. Pashman
Ms. Graybill
Ms. Luebbering
Ms. Yorkievitz
Mr. Zogby
Ms. Aldridge/Ms. Sheaffer /Ms. Benson

Administration for Children and Families
Office of Family Assistance
150 South Independence Mall West, Suite 864
Philadelphia, Pennsylvania 19106-3499

ATTENTION: Mr. David J. Lett

Dear Mr. Lett:

I appreciate your support for Pennsylvania’s TANF Program. If you have any questions or need further clarification on any entry, please contact me at (717) 787-4081.

Sincerely,

Edward J. Zogby
Director
Bureau of Policy

Enclosures

cc: Ms. Peg Montgomery
bcc: OIM Executive Staff
Ms. Richman
Ms. Pashman
Ms. Graybill
Ms. Luebbering
Ms. Yorkievitz
Mr. Zogby
Ms. Aldridge/Ms. Sheaffer/Ms. Benson

Annual Reporting On TANF Programs Under 45 CFR 265.9(b)

General Instructions

Each State must provide the information indicated below on its TANF program regardless of the funding source – i.e., no matter whether the State used segregated Federal TANF funds, segregated State TANF funds, or commingled funds to pay for the benefit or service.

If the State elects to report on other benefits or activities provided through other program funding streams, please mention it after the TANF-funded benefits or activities for each item.

(1) The State's definition of each work activity.

(i) Work-Related Activities that clients can participate in during their first 24 months of receipt of cash assistance:

- 20 hours per week of unsubsidized employment - a job

- Job search - the activity of seeking full-time or part-time employment with the required documentation of attempts to secure employment. A job search may be conducted through a contracted program or conducted independently without the benefits of the contracted program. The independent job search is available to individuals who have a high school diploma or its equivalent and an eighth grade reading level as determined through assessment.

- Job readiness or preparation activities - training that prepares the recipient for the workplace by teaching interviewing techniques, preparation of resumes and employer expectations. This activity may also include instruction in basic life skills and career exploration

- Subsidized employment - work in which all or a portion of the wages paid to the recipient are provided to the employer either as a reimbursement of the extra costs of training or as an incentive to hire the recipient

- Work experience - subsidized employment of not more than six months duration which is combined with classroom study or other training

- On-the-job-training - employment experience that combines a subsidized period of employment with instruction necessary to perform specific job functions in which the recipient is hired by the employer, who is reimbursed up to fifty percent of the wages paid during the contracted subsidy period. The training is to be provided to recipients who do not have the related education or specific work experience required for the job

- Workfare - unpaid work used to provide work experience for clients in the public or non-profit sector

- Community service - nonpaid work for a unit of Federal, State or local government or a nonprofit organization arranged by the cash assistance recipient. The organization receiving the work must agree to report to the appropriate County Assistance Office (CAO) regarding the number of hours worked per week by the cash assistance recipient. An individual needed in the home to care for another member of the household with a verified disability or for a foster child is also considered to be participating in community service.

- Job skills training - preparation that is designed to provide a recipient with the knowledge necessary to perform the duties of a specific job

- General education - education designed to qualify a client for a high school diploma or equivalency certificate

- Vocational education - a specific curriculum of training, including post secondary education provided by an accredited training organization, which is designed to prepare a recipient for a specific occupation

- English-as-a second language - any formal education specifically designed to improve proficiency in English

Except for unsubsidized employment, there is no hourly requirement of participation during the first 24 months that a client receives cash assistance.

(ii) Work Activities that clients can participate in after having received cash assistance for 24 or more months

- Unsubsidized employment - a job

- Work experience - subsidized employment of not more than six months duration which is combined with classroom study or other training

- Workfare - unpaid work used to provide work experience for clients in the public or non-profit sector

- Community service - nonpaid work for a unit of Federal, State or local government or a nonprofit organization arranged by the cash assistance recipient. The organization receiving the work must agree to report to the appropriate CAO regarding the number of hours worked per week by the cash assistance recipient. An individual needed in the home to care for another member of the household with a verified disability or for a foster child is also considered to be participating in community service.

After clients have received cash assistance for 24 or more months, their participation in one of the aforementioned work activities must be for an average of 20 hours per week.

(2) A description of the transitional services provided to families no longer receiving assistance due to employment.

Indicate the kinds of help provided to working families that received, but no longer receive, “assistance” as defined in 45 CFR 260.31.

Extended Medical Coverage (EMC) is sometimes referred to as Transitional Medical Assistance. A person may receive the categorically needy non-money payment (NMP) Medicaid benefit in the EMC program for up to 12 months if TANF or TANF-related NMP Medicaid is discontinued due to new employment, increased hours of employment, increased income from employment, or loss of the pre-TANF work incentive deduction. EMC may be authorized up to four months if TANF or TANF-related Medicaid is discontinued due to income from support. To receive EMC, persons must have received TANF or TANF-related Medicaid in at least three of the six months immediately prior to the month TANF or TANF-related NMP for the family is discontinued and have a TANF-aged child in the household.

The Department of Public Welfare (DPW) also provides transitional food stamp benefits under the Transitional Benefits Alternative (TBA) option. For DPW purposes, the Federal TBA provisions are known as Extended Food Stamp Benefits (EFS). The meaning of the term “TBA” is not understandable to the public and DPW has decided EFS is a more “client friendly” term. EFS provides households leaving TANF with up to five months of benefits by using the income the household received in the last month of TANF eligibility minus the TANF grant amount. EFS provides a continued support to meet the nutritional needs of families as they transition from TANF to self-sufficiency and allows a transitional period of time for the household circumstances to stabilize before reducing or removing support.

In addition, DPW incorporated 18 non-assistance initiatives included in the Fiscal Year 2003-2004 budget that provide work supports and other services to eligible low-income families. Although these work supports and services are funded with TANF funds, they are excluded from the definition of “assistance” in 45 C.F.R. §260.31. As a result, these work supports and services do not count towards the 60-month TANF time limit. In addition, persons receiving these benefits are not subject to the TANF work requirement or to a Federally imposed child support requirement. The term used by the Federal Department of Health and Human Services to describe the TANF-funded work supports and services which do not count towards the 60-month TANF time limit is “non-assistance.” Pursuant to 45 CFR §260.31, the terms “assistance” and “non-assistance” are defined below:

Assistance – includes cash payments, vouchers, and other forms of benefits designed to meet a family’s ongoing basic needs (i.e., food, clothing, shelter, utilities, household goods, personal care items, and general incidental expenses). Assistance also includes supportive services such as child care and transportation for families in which adults are not employed.

Non-Assistance – includes:
• Non-recurrent, short-term benefits that:
- Are designed to deal with a specific crisis situation or episode of need;
- Are not intended to meet recurrent or ongoing needs; and
- Will not extend beyond four months.
• Work subsidies (i.e., payments to employers or third parties to help cover the costs of employee wages, benefits, supervision, and training);
• Supportive services such as child care and transportation provided to families who are employed;
• Services such as counseling, case management, peer support, child care information and referral, transitional services, job retention, job advancement, and other employment-related services that do not provide basic income support;

In accordance with 45 CFR §260.31 and subject to the availability of resources, DPW provides funding for the following non-assistance initiatives to certain needy families, based on the program descriptions and eligibility criteria set forth in each of the following initiatives.

Job Retention, Advancement and Rapid Re-employment Services
Effective April 2001, this initiative provides job retention, advancement and rapid re-employment services to needy families (TANF and/or Non-TANF) and non-custodial parents who are not served through existing contracted programs. The purpose of the job retention and advancement services is to help participants retain employment and move to better employment whenever possible. Services provided under this initiative may include:
• Case management
• Supportive Services not provided by the CAO
• Programs and activities for participant's children, i.e. tutoring and before and after school programs for participants’ children while they engage in employment activities such as paid work experience
• Job Development
• Job Placement
• Skills training
• Education Incentives

Eligibility requirements for this initiative are as follows:
• Must meet the definition of a needy family (TANF and/or Non-TANF) or be a non-custodial parent of a minor child, and
• Must be working in unsubsidized employment at the time of application for the program, and
• Must not be participating in any employment and training program funded through DPW, including the job retention periods for those programs, and
• Must have a gross annual earned income that does not exceed 235 percent of the Federal Poverty Income Guidelines (FPIGs)

This initiative meets TANF purpose number two, to end dependence of needy parents on government benefits by promoting job preparation, work and marriage, and is funded with commingled funds.

The Pennsylvania Higher Education Assistance Agency (PHEAA) Initiative
Effective July 2000, this initiative provides financial support in the form of loans, grants, and work-study to assist eligible needy individuals with the costs of tuition, books and fees associated with attending post-secondary educational programs.

Eligibility requirements for this initiative are as follows:
• Must meet the definition of a needy family or be the non-custodial parent of a minor child, and
• Must be attending a post-secondary educational program, and
• Must have a gross annual earned income that does not exceed 235 percent of the FPIGs, and
• Must be a current or former TANF recipient

This initiative meets TANF purpose number two, to end dependence of needy parents on government benefits by promoting job preparation, work and marriage, and is funded with commingled funds.

The Community College Component
Effective July 2000, this initiative supplements an existing program known as Single Point of Contact (SPOC) by permitting individuals who have participated in SPOC access to a variety of programs through community colleges. The Workforce Investment Act fiscal agent that runs SPOC subcontracts to the college. The funding received by the college is used to purchase slots in various education and training programs offered by the college. The funding is also used to support the costs incurred by the college for intensive case management offered to these clients. Blending the Community College initiative with the SPOC Program encourages individuals to engage early in training activities that lead to permanent employment. In addition, DPW will set aside funding for community colleges to design and develop remedial curricula for working TANF or former TANF families.

Eligibility requirements for this initiative are as follows:
• Must meet the definition of a needy family, and
• Must be a current or former TANF recipient, and
• Must have a gross annual earned income that does not exceed 235 percent of the FPIGs.

This initiative meets TANF purpose number two, to end dependence of needy parents on government benefits by promoting job preparation, work and marriage, and is funded with commingled funds.

Child Care Provided to Employed Families
Effective July 2000, this initiative provides subsidized child care benefits to eligible employed families who need child care to participate in unsubsidized employment, subsidized employment and/or education/training activities.

Eligibility requirements for this initiative are as follows:
• Must meet the definition of a needy family, and
• Must be working, and
• Must have a gross annual earned income that does not exceed 235 percent of the FPIGs, and
• Must be a current or former TANF recipient

This initiative meets TANF purpose number two, to end dependence of needy parents on government benefits by promoting job preparation, work and marriage, and is funded with commingled funds.

Workforce Investment Board’s (WIBs) Transportation Grant Initiative
Effective July 2000, this initiative funds additional transportation services to employed families in an effort to resolve specific public transportation-related barriers, such as linkages to child care and second and third shift employment for those transitioning to self-sufficiency. Services contracted through the WIBs may include:

• Reverse commutes
• Guaranteed ride home program services
• Vanpooling
• Carpooling
• Shared taxi service
• Automobile acquisition

Eligibility requirements for this initiative are as follows:
• Must meet the definition of a needy family, and
• Must be working, and
• Must reside in certain rural or semi-urban WIB areas, and
• Must be in a DPW-funded employment and training program through the local WIB, and
• Must have a gross annual earned income that does not exceed 235 percent of the FPIGs

This initiative meets TANF purpose number two, to end dependence of needy parents on government benefits by promoting job preparation, work and marriage, and is funded with commingled funds.

Eyeglass and Hearing Device Initiative – Non-Medical
Effective July 2000, this initiative provides a cost-limited non-recurring, short-term benefit towards the actual cost of eyeglasses and/or hearing exams and devices to help clients seek and maintain employment. These benefits are available to eligible clients through DPW’s Road to Economic Self-Sufficiency through Employment and Training (RESET) Program-contracted provider in whose program they are participating. Services provided under this initiative include:
• Eye exam and the purchase of eye glasses (once per year per individual and actual cost up to a maximum of $200)
• Hearing exams and hearing devices (once per year per individual and actual cost up to a maximum of $1000)

Eligibility requirements for this initiative are as follows:
• Must meet the eligibility criteria of the Fatherhood Initiative, or
• Must meet the definition of a needy family or be a non-custodial parent of a minor child, and
• Must demonstrate the need for eye glasses through an eye exam, or
• Must demonstrate the need for an exam with an audiologist and hearing devices through referral by an M.D., and
• Must be enrolled with a DPW-contracted program provider funded through DPW’s RESET program, and
• Must need the eye glasses or hearing devices for participation in pre-employment, education, training or other approved activities related to job search and placement in employment, and
• Must have a gross annual earned income that does not exceed 235 percent of the FPIGs

This initiative meets TANF purpose number two, to end dependence of needy parents on government benefits by promoting job preparation, work and marriage, and is funded with commingled funds.

The Fatherhood Initiative
Effective April 2001, this initiative is designed to assist non-custodial parents of minor children to return to or remain in school, obtain their high school diploma or GEDs, develop responsible parenting skills, become positive role models for their children and become productive members of their communities. Services provided under this initiative may include:
• Intensive case management
• Parenting and child development education
• Decision making
• Self-discipline
• Anger management
• Problem-solving skills
• Assistance in paternity establishment (establishing paternity is not required to participate)
• Year-round programming
• GED
• High School
• Skills Training

Eligibility requirements for this initiative are as follows:
• Must be a non-custodial parent of a minor child, and
• Must have a gross annual earned income that does not exceed 235 percent of the FPIGs

This initiative meets TANF purpose number two, to end dependence of needy parents on government benefits by promoting job preparation, work and marriage; purpose three, to prevent and reduce the incidence of out-of-wedlock pregnancies and establish annual numerical goals for preventing and reducing the incidence of these pregnancies; and purpose four, to encourage the formation and maintenance of two-parent families. This initiative is funded with 100 percent segregated Federal funds.

Home Access Program Initiative
Effective July 2002, this initiative is designed to provide assistance to repair homes via non-recurring, short-term benefits to low-income families that include a disabled adult or child in the household. These benefits may be provided to such families who are in the process of purchasing a home where repairs are needed to facilitate accessibility, or to families who presently own a home needing repairs. Benefits may be offered to homeowners and potential homeowners to support efforts to become self-sufficient and secure or retain work. Many existing homes contain obvious barriers to persons with disabilities, making it difficult for those persons to enter or leave their living quarters to seek and maintain employment. Also, some individuals may unexpectedly acquire a disability and find that their home contains structural barriers making them virtually homebound and unable to return to work.

Eligibility requirements for this initiative are as follows:
• Must meet the definition of a needy family, and
• Must have a gross annual earned income that does not exceed 235% of the FPIGs

This initiative meets TANF purpose number two, to end dependence of needy parents on government benefits by promoting job preparation, work and marriage, and is funded with 100 percent segregated Federal funds.

The Elect Initiative
Effective April 2001, this initiative is designed to assist expectant and custodial parents or non-custodial parents of minor children to return to or remain in school, obtain their high school diploma or GEDs, develop responsible parenting skills, become positive role models for their children and become productive members of their communities. Acknowledging paternity is not required to participate. Services provided under this initiative may include:
• Intensive case management
• Parenting and child development education
• Decision making
• Year-round programming
• GED
• High School

Eligibility requirements for this initiative are as follows:
• Must be an expectant or custodial parent or a non-custodial parent of a minor child, and
• Must be a current TANF or food stamp recipient, and
• Must have a gross annual earned income that does not exceed 235% of the FPIGs

ELECT After School Component
This component was developed to assist Local Education Agencies (LEAs) in developing comprehensive after school activities for expectant, parenting and other high-risk youth in grades 4 through 12. Services or activities include:
• Academic Enhancement – Helping students improve academic interest and performance
• Personal Development – Helping students recognize their own value, their strengths and the importance of assuming responsibility for their behavior
• Prevention of High Risk Behaviors – Providing age appropriate information and skills that will enhance the student’s ability to avoid risky behavior and to engage in positive, constructive relationships.
• Parental Involvement Activities – Maintaining an open door policy where parents are encouraged to drop in, support and participate in their children’s activities. Additionally, programs hold quarterly Open House Meetings.

All programs must provide fun activities intended to improve the participant’s personal development while helping to keep his or her interest in the program.

Eligibility requirements for this initiative are as follows:

This pilot is currently being offered in four LEAs in which 50 percent or more of the students qualify for free or reduced school lunch. Children in grades 4 through 12 who are expectant, parenting or have demonstrated at risk behavior are eligible to participate.

This initiative meets TANF purpose number one , to provide assistance to needy families so that children may be cared for in their own homes or in the homes of relatives; purpose three, to prevent and reduce the incidence of out-of-wedlock pregnancies and establish annual numerical goals for preventing and reducing the incidence of these pregnancies; and purpose number four, to encourage the formation and maintenance of two-parent families. This initiative is funded with 100 percent segregated Federal funds.

Family Savings Accounts
Effective July 2001, this initiative uses matched savings to help finance the purchase of a new home, pay for educational expenses, pay for day care to enable job training, start a new business or other activities that are approved by the Department of Community and Economic Development (DCED).

This initiative is administered by DCED. Eligibility requirements for this initiative are as follows:
• Must meet the definition of a needy family or be the non-custodial parent of a minor child, and
• Must have a gross annual earned income that does not exceed 200 percent of the FPIGs.

This initiative meets TANF purpose number two, to end dependence of needy parents on government benefits by promoting job preparation, work and marriage, and is operated under 42 U.S.C.A. §404(a)(1). This initiative is funded with 100 percent segregated Federal funds.

Nurse-Family Partnership
Effective October 2001, this initiative provides home visitation management services to eligible low-income, first-time mothers only. The home visitors are nurses who follow guidelines that focus on the mother’s personal health, quality of care provided to the child and the parents’ own life-course development.

The purposes of this initiative are as follows:
• To improve pregnancy outcomes by helping women practice sound health-related behaviors, including obtaining good prenatal care from their physicians, improving diet and reducing use of cigarettes, alcohol and illegal drugs.
• To improve child health and development by helping parents provide more responsible and competent care for their children.
• To improve families’ economic self-sufficiency by helping parents develop a vision for their own future, plan future pregnancies, continue their education and find jobs.

Eligibility requirements for this initiative are as follows:
• Must be a first-time mother with a dependent child, or be pregnant with the first child, and
• Must have a gross annual earned income that does not exceed 235 percent of the FPIGs

Civil Legal Assistance
Effective July 2001, this initiative is a two-year pilot project. It is an effort to provide one-stop legal assistance for civil matters to victims of domestic violence in six locations throughout the State. Services include those not covered under Title IV-D funding, such as help in obtaining Protection from Abuse Orders from county courts, child custody court orders, encouragement to file for child support when the victim is the custodial parent, spousal support if needed and TANF waivers of work requirements.

Funding is provided to Pennsylvania Legal Services to assist with Protection From Abuse Orders and to look out for the victim’s safety when filing for child support and child custody.

Eligibility requirements for this initiative are as follows:
• Must be a family that includes a victim of domestic violence, and
• Must have a gross annual earned income that does not exceed 235 percent of the FPIGs

This initiative meets TANF purpose number one, to provide assistance to needy families so that children may be cared for in their own homes or in the homes of relatives, and is funded with commingled funds.

School Prevention Education Program (Rape Prevention)
Effective July 2001, this initiative supports prevention education for school children on resisting unwanted sexual advances by using posters, music CDs and magazines. Curriculum related to sexual violence is provided to teachers and community groups.

This initiative meets TANF purpose number three, to prevent and reduce the incidence of out-of-wedlock pregnancies and establish annual numerical goals for preventing and reducing incidences of these pregnancies. This initiative is funded with 100 percent segregated Federal funds.

Head-Start Collaboration Project
Effective October 2001, this initiative focuses on the priority of child care, education and job training for families as they make the transition from welfare to work. The strategy has been to create awareness and provide resources and technical assistance to support the development of full-day/full-year services through local Head Start child care partnerships.

In addition to child care services, Head Start provides early education enrichment, literacy and intervention programs which pattern the child into becoming a responsible youth who can make educated decisions.

Eligibility requirements for this initiative are as follows:
• Must be a Head Start Center, and
• Must use the grant to provide Head Start child care services to children from low-income families who meet the Head Start eligibility criteria and whose incomes do not exceed 235 percent of the FPIGs

Weed and Seed Program
Although effective September 1995, this initiative did not receive TANF funds to support this program until July 2002. Its purpose is to create a strong partnership between the community and law enforcement, resulting in social and economic revitalization for the neighborhood and family. This initiative targets medium-sized Pennsylvania communities that are especially challenged by poverty, crime, teenage pregnancy, broken families, educational failure and elevated rates of school dropouts.

This initiative meets TANF purpose number three, to prevent and reduce the incidence of out-of-wedlock pregnancies and establish annual numerical goals for preventing and reducing incidence of these pregnancies; and purpose four, to encourage the formation and maintenance of two-parent families. This initiative is funded with 100 percent segregated Federal funds.

Women in Need – Alternatives to Abortion
Effective July 2002, this initiative provides pregnancy and parenting support to women in need. The program primarily provides information and counseling that promote childbirth instead of abortion and assists pregnant women in their decisions regarding adoption or parenting. Services are free to women participating in the program.

Eligibility requirements for this initiative are as follows:

• A woman must be pregnant, or suspect she is pregnant, or be the parent of an infant less than 12 months of age, and
• have a gross annual earned income that does not exceed 185 percent of the FPIGs

This initiative meets TANF purpose number four, to encourage the formation and maintenance of two-parent families, and is funded with 100 percent segregated Federal funds.

Transportation Assistance
Effective July 1997, the Welfare to Work (w2w) Transportation Demonstration project pools the resources and experience of the Departments of Public Welfare, Transportation, Labor & Industry and Community and Economic Development to allocate TANF dollars to organized transportation providers for the purpose of making transportation to and from employment available and affordable to eligible working individuals. The program is directly administered by the Department of Transportation and the TANF dollars match funds from the Job Access and Reverse Commute program.

Under this demonstration project, transportation assistance takes the form of:

• Public transit at no cost or modified cost
• Organized transit pools at no cost or modified cost
• Assistance with the purchase or repair of a motor vehicle.

Eligibility requirements for this initiative are as follows:

• the family must include an adult who is employed.
• The family must be receiving TANF cash assistance or must have received TANF cash assistance on or after March 3, 1997 or
• the family must meet the definition of a needy family and have gross annual earned income that does not exceed 235 percent of the FPIGs

This initiative meets TANF purpose number two, to end the dependence of needy parents on government benefits by promoting job preparation, work and marriage, and is funded with commingled funds.

(3) A description of how a State will reduce the amount of assistance payable to a family when an individual refuses to engage in work without good cause pursuant to 45 CFR 261.14 of this chapter.

Pennsylvania has the following policy regarding reducing the amount of assistance payable to a family when an individual refuses to engage in work without good cause pursuant to §261.14:

A mandatory participant who fails to cooperate with the work or work-related activity requirement, participate in RESET (Pennsylvania's employment and training program) or accept a bona fide offer of employment, or who terminates employment, reduces earnings or fails to apply for work, without good cause, is ineligible for cash assistance.

The period of sanction is:

First occurrence - 30 days or until the failure to comply ceases, whichever is longer.

Second occurrence - 60 days or until the failure to comply ceases, whichever is longer.

Third occurrence - permanently.

If the reason for the sanction occurs in the first 24 months, the sanction applies only to the individual.

If the reason for the sanction occurs after the first 24 months, the sanction applies to the entire budget group.

In lieu of the sanctions set forth above, if an employed individual voluntarily, without good cause, reduces his earnings by not fulfilling the 20-hour weekly work requirement, the cash grant is reduced by the dollar value of the income that would have been earned if the recipient would have fulfilled his 20-hour weekly work requirement, until the 20-hour requirement is met.

DPW has opted not to impose a sanction on medical assistance benefits for recipients who fail to comply with employment and work-related activity requirements.

(4) The average monthly number of payments for child care services made by the State through the use of disregards, by the following types of child care providers:

(i) Licensed/regulated in home child care;

(ii) Licensed/regulated family child care;

(iii) Licensed/regulated group home child care;

(iv) Licensed/regulated center based child care;

(v) Legally operating (i.e., no license category available in State or locality)
in home child care provided by a nonrelative;

(vi) Legally operating (i.e., no license category available in State or locality)
in home child care provided by a relative;

(vii) Legally operating (i.e., no license category available in State or locality)
family child care provided by a nonrelative;

(viii) Legally operating (i.e., no license category available in State or locality)
family child care provided by a relative;

(ix) Legally operating (i.e., no license category available in State or locality)
group child care provided by a nonrelative;

(x) Legally operating (i.e., no license category available in State or locality)
group child care provided by a relative; and

(xi) Legally operated (i.e., no license category available in State or locality)
center based child care;

Pennsylvania discontinued the use of disregards in lieu of making cash payments for child care effective February 1, 1999.

(5) If the State has adopted the Family Violence Option and wants Federal recognition of its good cause domestic violence waivers under 45 CFR 260.50-58, then provide (a) a description of the strategies and procedures in place to ensure that victims of domestic violence receive appropriate alternative services and (b) an aggregate figure for the total number of good cause domestic waivers granted.

Information regarding Pennsylvania's strategies for implementing the Family Violence Option are included in the TANF State Plan on page 43 at number 18. The Department published its revised policy governing good cause for failing to cooperate with child/spousal support requirements based on a claim of domestic violence in the TANF regulations published on October 12, 2002, in the Pennsylvania Bulletin. These revised requirements became effective July 3, 2000. A significant revision permits applicants/recipients to affirm in writing that they are unable to safely provide documentation of good cause within the established time frames for providing verification. Good cause may be granted for a period not to exceed six months pending appropriate documentation.

Recipients who are granted temporary good cause waivers of work requirements must participate in the completion of a services plan. This mutual plan is developed by a specialist with a domestic violence service provider or a CAO worker who is trained in domestic violence. The services plan is used to assess the individualized needs and circumstances of the victim of domestic violence and his/her family. Factors that enter into the development of the plan are family safety, stability and self-sufficiency. The goal of self-sufficiency through employment is pursued only insofar as it does not compromise the safety of the family. The services plan includes a review of the individual's circumstances such as shelter allowances, medical care, child care, transportation, child support and referrals to the appropriate agencies for safety planning or a discussion of legal options. The plan is reviewed and updated as necessary, but no less often than every six months. Compliance with the plan is required for the waiver to continue.

Numbers of good cause waivers
Employment-related waivers – 2,217
Child Support waivers – 5,401

(6) A description of any nonrecurrent, short-term benefits (as defined in 45 CFR 260.13(b)(1)) provided, including:

• Emergency Shelter Allowances are available to assist families and individuals who are homeless or near homeless and who need financial assistance in order to prevent eviction or foreclosure or obtain permanent or temporary shelter. The amount of the emergency shelter allowance alone or when added to other sources of housing assistance or resources available to the applicant must be sufficient to prevent eviction/foreclosure or to provide permanent or temporary shelter and the applicant must have sufficient anticipated income to pay future rent.

• Employment and Training Special Allowances for Supportive Services are provided to eligible persons who participate in work-related and education and training activities specified in their Agreement of Mutual Responsibility. Payment for supportive services include the following:
- Child care
- Care of incapacitated adults
- Transportation
- Motor vehicle purchase
- Motor vehicle repairs
- Motor vehicle related expenses
- Moving relocation costs
- Lodging
- Food
- Clothing
- Tools and equipment
- Books and supplies
- Union dues and professional fees
- Registration fees

(i) The eligibility criteria associated with such benefits, including any restrictions on the amount, duration, or frequency of payments;

• Emergency Shelter Allowances eligibility criteria are as follows:
- The gross annual income limit is established as 80 percent of the current FPIGs for individuals under age 21 or families with a child under age 21. Families receiving TANF cash assistance and who have no other income except for support pass-through payments are automatically income eligible.
- The individual or family intends to remain a resident of Pennsylvania.
- The housing emergency is not a result of a refusal to accept employment or training without good cause.

Frequency of Emergency Shelter Allowance Payments - An emergency shelter allowance may be granted only during one consecutive 30 calendar day period every 12 consecutive months, and is limited to a maximum benefit amount based on the type of allowance in the 30 consecutive days.

Emergency Shelter Allowance Benefit Amounts -

- To provide permanent living quarters
*Individual under age 21 or family with a child under age 21, a maximum of $300.
* Individual age 21 or over or family with all individuals age 21 or over, a maximum of $100.

- To prevent eviction or foreclosure
* Individual under age 21 or family with a child under age 21, a maximum of $400.
* Individual age 21 or over or family with all individuals age 21 or over, a maximum of $300.

- To provide temporary shelter including when a dwelling is uninhabitable, when a dwelling has been condemned as a result of a disaster, or when the family had to leave a permanent residence because of a domestic violence situation.
A maximum of $100.

• Employment and Training Special Allowances for Supportive Services eligibility criteria are as follows:

- Child care is authorized as required for education, training, job application or job interview and employment. Actual cost is subject to the maximum established by DPW for allowances granted after implementation of the maximum allowances or actual reasonable cost for recipients receiving child care allowances before implementation of the maximum allowances.

- Care of incapacitated adults is authorized as required for education, training, job application or job interview. The maximum allowance is the actual cost of non-medical care up to the maximum rates established for infant care.

- Transportation is authorized for both public and private carriers up to $250 total per month. Allowances to cover the cost of public and private transportation carriers may be issued with no limit on the number of trips for job interviews, education or training activities. Allowances for employment-related costs may be authorized for the period up to first pay. The maximum allowance for public transportation is actual cost except for air and long distance rail travel, which are covered at actual cost at the lowest available rate. The maximum allowance for private transportation (i.e., privately owned vehicle or volunteer car and driver) is $.12 per mile plus the actual cost of parking and highway and bridge tolls.

- Motor vehicle purchase is authorized once per job or as required for education or training activities. The maximum allowance is actual cost up to $750.

- Motor vehicle repairs are authorized once per job or as required for education or training activities. The maximum allowance is actual cost up to $400.

- Motor vehicle-related expenses such as driver's license fee, state inspection fee, emission control inspection fee, license plates, or vehicle registration fee are authorized once per job or as required for education or training activities. The maximum allowance is the actual cost up to $200.

- Moving relocation costs to accept employment are authorized no more than once in a 12-month period. The maximum allowance is the actual cost up to $200.

- Lodging is authorized once for each application or interview for a job or as required for education or training activities. The allowance is the actual cost subject to the maximum rate established for Commonwealth employees by the Office of Administration.

- Food is authorized once for each application or interview for a job or as required for education or training activities. The allowance is the actual cost subject to the maximum rate established for Commonwealth employees by the Office of Administration and the Office of the Budget.

- Clothing is authorized once per job or as required for education or training activities. The maximum allowance is the actual cost up to $150.

- Tools and equipment are authorized once per job or as required for education or training activities. The maximum allowance is the actual cost up to $2000.

- Books and supplies are authorized as required for education or training activities. The maximum allowance is the actual cost up to $500.

- Union dues and professional fees are authorized once per job. The maximum allowance is the actual cost up to $250.

- Registration fees are authorized as required for education and training activities. The maximum allowance is the actual cost up to $250.

(ii) Any policies that limit such payments to families that are eligible for TANF assistance or that have the effect of delaying or suspending a family's eligibility for assistance; and

Eligibility for employment and training special allowances is limited to persons participating in Employment and Training services and who are eligible for TANF. Pennsylvania does not have a policy that provides short-term assistance to families as a means of preventing, delaying, or suspending on-going eligibility for TANF.

(iii) Any procedures or activities developed under the TANF program to ensure that individuals diverted from assistance receive information about, referrals to, or access to other program benefits (such as Medicaid and food stamps) that might help them make the transition from welfare to work.

Information regarding Medicaid outreach is included in the TANF State Plan on page 44 at number 19. DPW has continued to engage in outreach efforts to ensure that individuals diverted from assistance receive Medicaid benefits to aid them in making the transition from welfare to work. DPW continued to mail flyers to families with children who had their TANF case closed since July 1, 1997, and had received Medicaid but who were not currently receiving Medicaid, had not responded to an initial mailing, or who were currently receiving food stamps only. In July 1999, telephone contact was attempted to 9,500 individuals whose TANF was closed for failure to keep an appointment, failure to monthly report, failure to furnish information or voluntary withdrawal, using a pre-designed script informing individuals what they must do to regain eligibility.

Pennsylvania went a step further in demonstrating commitment to providing families with Medicaid coverage by authorizing 60 days of fee-for-service Medicaid for 32,000 individuals for whom Medicaid was not authorized when TANF was closed. This was done based on the possibility that they may have been eligible. Later, an additional 120 days of Medicaid was authorized for some of the original 32,000 if their Medicaid benefits were closed for income-related reasons and they had not been determined prospectively eligible.

DPW continues to revise operations to ensure individuals receive all Medicaid benefits for which they are eligible. A videoconference for CAO staff discussing proposed Medicaid policy and procedural changes was conducted to 12 down-link sites across the State through the local public television station. This was followed with Statewide training for all eligibility workers outlining revised Medicaid policies and procedures to reduce barriers to receiving and maintaining Medicaid. Computer programming changes have been made to continue Medicaid automatically when TANF is discontinued for a reason that does not affect Medicaid eligibility. A Medicaid eligibility computational tool, Medicaid Scratchpad, was implemented to aid staff in benefit determination.

The number of children on Medicaid when TANF was implemented was 720,038. Despite the initial enrollment decline just after implementation, the number of children in Medicaid now exceeds 863,000.

Food Stamp Outreach information is included in the TANF State Plan at number 20 on page 45. In addition to the outreach initiatives described in the State Plan, DPW has renewed 19 grants for the outreach initiative known as the Food Stamp Participation Project (FSPP).

The FSPP provided funds to community and faith-based organizations and local health and human services to support development and expansion of DPW’s goal which is to increase participation in the Food Stamp Program. The FSPP provided mini-grants of up to $50,000 to 19 selected bidders with a total budget of $883,740. The initial contract period covered April 1, 2002 through March 31, 2003. The FSPP was renewed for a third year and that contract period covers April 1, 2004 through March 31, 2005.

The workgroup monitored the development and design of the shortened and simplified Food Stamp Only application that is available in English and Spanish.

There were 14,231 quarterly mailings mailed to TANF households closed and not receiving food stamps from July through December of 2003 and another 13,122 from January through June 2004. These mailings to former TANF recipients not receiving food stamps inform them that they may be eligible to receive food stamps, Medicaid, the Low-Income Home Energy Assistance Program, Child Care Works benefits, and how to apply if interested.

DPW also elected to provide Transitional Benefits Alternative (TBA) effective May 23, 2002, which was expanded by the Farm Bill, effective October 1, 2002.

For DPW purposes, the Federal TBA provisions are known as Extended Food Stamp Benefits (EFS). The meaning of the term “TBA” is not understandable to the public and DPW has decided EFS is a more “client friendly” term. EFS provides households leaving TANF with up to five months of benefits by using the income the household received in the last month of TANF eligibility minus the TANF grant amount. EFS provides a continued support to meet the nutritional needs of families as they transition from TANF to self-sufficiency and allows a transitional period of time for the household circumstances to stabilize before reducing or removing support.

(7) A description of the grievance procedures the State has established and is maintaining to resolve displacement complaints, pursuant to section 407(f)(3) of the Social Security Act. This description must include the name of the State agency with the lead responsibility for administering this provision and explanations of how the State has notified the public about these procedures and how an individual can register a complaint.

DPW has the responsibility of handling complaints regarding the displacement of employees as a result of a placement of a TANF client in the workplace.

DPW requires its employment and training contractors to develop a Work Site Agreement, which requires an assurance that the work site will not displace its regular workforce with welfare recipients. Further, the work site may not substitute work experience participants for individuals on layoff from the same or substantially equivalent positions.

DPW notified Pennsylvania citizens of the displacement procedures by publishing a notice in the Pennsylvania Bulletin on October 12, 2002 and by requiring that all employment and training contracts entered into with DPW include language prohibiting such displacement.

Individuals alleging displacement by a welfare recipient may contact DPW’s Bureau of Employment and Training Programs.

(8) A summary of State programs and activities directed at the third and fourth statutory purposes of TANF (as specified at §260.20(c) and (d) of this chapter).

(a) Summarize below, the State programs and activities directed at preventing and reducing the incidence of out-of-wedlock pregnancies and establishing annual numerical goals for preventing and reducing the incidence of these pregnancies (TANF purpose 3).

Information regarding Pennsylvania's strategies for implementing the third and forth purposes of TANF (as specified at §260.20(c) and (d) are included in the TANF State Plan on pages 41 through page 43.

Transfers of TANF Block Grant Funds
Pennsylvania continues to provide supportive and emergency assistance through TANF or other State programs as follows:
- Pennsylvania reserves the option to transfer TANF funds to the Child Care and Social Services Block Grant

Reductions of Out-of-Wedlock Births
Pennsylvania addresses out-of-wedlock births from two perspectives:
- Provision of family planning services for low-income families and without regard to income for those who are 16 and 17 years old; additionally, within Department of Health under Federal funding through Title V of the Maternal and Child Health (MCH) Block Grant to teens under age 16; and without regard to income.

Abstinence education for adolescents with family incomes less than 185 percent of the FPIGs. As part of a five year plan to address teen pregnancy and out-of-wedlock births, the Department implemented the Abstinence Education and Related Services (AERS) Initiative. Through the AERS Initiative, the Department funded 28 community-based AERS projects in selected areas of the Commonwealth with youth at high risk for teen pregnancy and other risk behaviors. The primary target population were youth, both males and females, aged 9-14. These projects were funded through a Federal abstinence education grant award that required a State match.

Additionally, using TANF dollars, the Department targeted abstinence education programs and services for Hispanic youth and their families. The Department in collaboration with the Pennsylvania Association of Latino Organizations supported the design and implementation of an abstinence education curriculum that is culturally and linguistically sensitive for Hispanic youth. The abstinence education curriculum was implemented in eight bi-lingual learning centers located in Pennsylvania. The bi-lingual learning centers were located in communities with large populations of Hispanic youth who were at risk for teen pregnancy and other risk behaviors (e.g., substance abuse and sexually transmitted diseases).

During the last three fiscal years, the Department has collaborated with the Governor’s Advisory Commission on African American Affairs, the Governor’s Advisory Commission on Latino Affairs and the Department of Education, Bureau of Community and Student Services to plan and implement the “Breaking the Cycle” Conference. This conference provided youth with the opportunity to discuss and develop strategies to address issues of drugs, alcohol abuse and violence affecting their community.

In SFY 2002 and 2003, the Department of Health implemented regional training covering adolescent health issues. The regional training, “Twelve To Twenty-One: Current Adolescent Health Care Issues” was conducted in three regions of the state. The target audience for the very important one-day training events were pediatricians, family physicians, residents, students, nurses, nurse practitioners, physician assistants and the like. During the training events recognized leaders provided current information on important adolescent health care issues such as positive youth development, adolescent sexuality and adolescent depression, confidentiality issues in the treatment of adolescents, effects of and diagnosis of stress and post traumatic stress in adolescents.

For TANF, services are focused on adolescents and provided by current contractors.

In 1999, there were 144,828 births in Pennsylvania, of which 47,596 or 32.9 percent were out-of-wedlock. Of the out-of-wedlock births, 13,311 or 27.97 percent were to women 19 years of age or younger. The total number of out-of-wedlock births and the number of out-of-wedlock births to women 19 years of age or younger decreased gradually and consistently from 1994 to 1999. In 2000, there were 145,874 births in Pennsylvania, of which 47,593 or 32.6 percent were out-of-wedlock. Of the out-of-wedlock births, 12,925 or 27.2 percent were to women 19 years of age or younger. Both the total number of out-of-wedlock births and the out-of-wedlock births to women 19 years of age or younger continued to decrease during 2000. In 2001, there were 143,404 births in Pennsylvania, of which 48,403 or 33.75 percent were out-of-wedlock. Of the out-of-wedlock births, 12,389 or 25.6 percent were to women 19 years of age or younger. The total number of out-of-wedlock births to women 19 or younger continued to decrease during 2001; however, the total number of out-of-wedlock births increased. In 2002, there were 142,380 births in Pennsylvania, of which 47,519 or 33.5 percent were out-of-wedlock. Of the out-of-wedlock births, 11,879 or 25 percent were to women 19 years of age or younger. Both the total number of out-of-wedlock births and out-of-wedlock births to women 19 or younger decreased from 2001 to 2002.

Education and Training to Reduce Statutory Rape
Pennsylvania convened a Statutory Rape Task Force to address the issue of teen pregnancies that result from relationships with older men. Through a contract with the Pennsylvania Coalition Against Rape (PCAR), DPW launched a statewide public awareness/ad campaign and companion educational programs to increase awareness of statutory rape laws among middle school, junior high and senior high school students, staff and parents.

Recognizing that teen pregnancy and statutory rape result from a multitude of societal and interpersonal factors, PCAR’s efforts further incorporate messages about self-esteem, healthy relationships and general sexual violence awareness and prevention. Pre-teen and adult populations (parents, teachers, guidance counselors, school nurses, rape crisis counselors and advocates, youth leaders, etc.) are also targeted as secondary audiences.

Since the campaign’s inception in 1997 through June 30, 2004, prevention education programs were presented in all 67 counties across Pennsylvania utilizing materials and innovative strategies created from this public awareness/ad campaign to include:

Original Campaign: Statutory Rape (1997-1999)

1. A teen magazine entitled Flair, was developed for girls and young women between the ages of 12-15. Total distribution of 33,000 magazines statewide.
2. A music CD, entitled Pulse, was produced featuring original music from artists across the state. Total distribution of 25,000 CDs statewide.
3. Two posters directly confronting the issue of statutory rape were developed. Total distribution of 20,000 posters.
4. Web banner ads, initially placed on web sites including RollingStone.com and Teen People.com were created and linked to a more informative PCAR web site.
5. A consultant was engaged to develop the Statutory Rape Curriculum as a prevention/education training tool to be used by PCAR’s affiliated rape crisis centers within school systems.

Teen Sexual Violence Prevention Campaign (2000-June 30, 2004)

1. Focus groups comprised of rural, suburban and urban (inner city) teens (and mothers) were assembled statewide to provide information on culture, influencers, and campaign concepts and messages. The composition of each focus group consisted of girls between the ages of 12-14, boys between the ages of 11-12 and 13-14 and mothers of the boys. (Secondary research indicated that mothers were more influential with this age group than fathers.) Focus group participants also reflected a cross-section of race, economic status and type of school attended (i.e., public, private and parochial).
2. A teen magazine, entitled TEENesteem, was developed for girls and young women between the ages of 12-15. Total distribution of 120,809 magazines statewide.
3. A music CD, entitled Xpose the Truth, was produced and featured original music from ten Pennsylvania artists and bands ranging in age from sixteen to twenty something. Total distribution of 110,843 CDs statewide.
4. An Emmy-winning music video, entitled Gonna Make It, was produced to reach teens and young adults with messages about sexual violence, obtaining help and male responsibility for ending sexual violence. Total distribution of 5,000 videos statewide.
5. A web site, teenpcar.org, was developed to reach both teen males and females through interactive technology that addresses statutory rape/sexual violence awareness and prevention. The web site further provides opportunities for teens to voice their opinions, take action and give feedback on current events (culture, influences, etc.). Launched in July 2002, 91,191 visitor sessions have occurred on this site during this period.
6. A teen advisory board, originally consisting of 35 members in 2003 and now comprised of 100 males and females representing counties throughout Pennsylvania, assist PCAR in developing campaign messages and vehicles for statewide dissemination. In January 2004, PCAR began to regionalize the Teen Advisory Board which was renamed by members as RYOT (Rallying Youth Organizers Together) Against Rape. Regionalization has enabled teens to be more directly involved in their communities and regions to better develop and utilize community resources (area rape crisis centers, schools, churches and youth organizations) in developing and sustaining their activities.
7. A 75-minute program/concert (ROAR-Rappers and Rockers Organized Against Rape) featuring performers from the music CD was developed for schools and youth organizations to deliver messages about statutory rape/sexual violence in ways that influence healthy choices while promoting male responsibility for preventing sexual violence.
8. The making of another music video, Survival Story, which raises awareness of sexual victimization as it occurs against teen males was initiated and will be available for statewide dissemination in December 2004.
9. Three televised Public Service Announcements (PSAs) (2-30 second and 1-60 second) targeting teens were produced to promote healthy relationships and respect. 523 commercials were broadcast in major markets across Pennsylvania during a two- week period in September-October 2003.
10. Materials including brochures, posters, pens and key chains were distributed to teens in schools and youth organizations.
11. An “edutainment” vehicle (educational information morphed with entertainment/music) that incorporates a new single release, It Stops With Us, by the artist J-Saint (writer and producer of Gonna Make It) was developed. The music piece included a 10-panel accordion-folded brochure insert with information on sexual health, sexual responsibility and sexual assault prevention geared to teen males and females. Anticipated campaign launch of Fall 2004 with dissemination target of 50,000 CDs.
12. A campaign that provides parents with tools and resources to promote healthy dialogue between them and their teens will be launched in the Winter of 2004. Campaign issues will include topics regarding healthy relationships, date rape drugs, statutory rape, sexual harassment, guys and sexual assault, and how to say “No”/how to hear “No”. Vehicles that will be utilized include a web site, print pieces and 15, 30 and 60 second radio PSAs.

b. Summarize below, the State programs and activities directed at encouraging the formation and maintenance of two-parent families (TANF purpose 4).

Pennsylvania Parenting Program (PPP)
The Pennsylvania Parenting Program (PPP) complements the existing Federal Access and Visitation (A & V) Grant Program and provides an opportunity for local agencies to develop and implement a coordinated service plan that addresses the needs of noncustodial parents in providing financial and emotional support and guidance to their children. Specifically, PPP funds local agencies that develop and administer community-based parenting projects to enhance the role of fathers in the lives of their children. Improving the parenting skills of fathers serves to strengthen the relationship between fathers and their children, unify families, and increase the likelihood of the fathers’ financial contributions. The PPP initiative targets geographic regions of the State where there is a demonstrated need for parenting services.

In January 2004, DPW exercised its option to extend 11 agreements to allocate $1,587,756.84 in grants. The term of the current grant extension is January 1, 2004 through December 31, 2004. The grant funding is channeled through the county Domestic Relations Section to the subgrantee service provider organizations. The Bureau of Child Support Enforcement (BCSE) is the State agency responsible for administering and evaluating projects funded through the PPP grant program.

The A&V Grant Program was created under Section 469B of Title IV-D of the Social Security Act, as amended by Title III of the Personal Responsibility and Work Opportunity Reconciliation Act of 1996. DPW, Office of Income Maintenance, BCSE, has administered the A&V Grant Program in Pennsylvania since its inception in 1997, for the purpose of establishing and maintaining projects at the local level that support and facilitate noncustodial parents’ access to visitation with their children. Eligible activities include mediation (both voluntary and mandatory), counseling, education, development of parenting plans, visitation enforcement (including monitoring, supervision and neutral drop-off and pickup) and development of guidelines for visitation and alternative custody arrangements.

The United States Department of Health and Human Services (DHHS) awarded $333,852 A&V grant funding to DPW for Federal Fiscal Year (FFY) 2002. Grant monies were awarded to service providers selected through a competitive Request for Proposal process. Service providers in seven counties administered programs from October 1, 2003 through September 30, 2004. DHHS awarded the Commonwealth the same amount of A&V funding for FFY 2003. DPW exercised its option to extend the existing programs for one year, October 1, 2004 through September 30, 2005, using the A&V FFY 2003 grant funds.

(9) An estimate of the total number of individuals who have participated in subsidized employment under §261.30(b) or (c) of this chapter.

The number of individuals in subsidized employment is 273.

Attachment B

Annual Report on State Maintenance-of-Effort Programs: ACF-204

State:Pennsylvania Fiscal Year: 2004

Date Submitted: December 23, 2004

Provide the following information for EACH PROGRAM (according to the nature of the benefit or service provided) for which the State claims MOE expenditures. Complete and submit this report in accordance with the attached instructions.

(Line 5A of ACF-196)
1. Name of Benefit or Service Program:

TANF Cash Assistance

2. Description of the Major Program Benefits, Services, and Activities:

Provides cash assistance benefits to families and qualified aliens who meet deprivation criteria based on the absence, incapacity or unemployment of one or both parents. Cash assistance in this category is also provided in the form of child support pass-through payments to recipients. A child support pass-through is the state share of current support collected, after paying the Federal share to the Federal government, up to $50 per month.

Federal regulations allow states to establish programs subject to many TANF requirements such as work and child support but exempt from other requirements such as the 60-month time limit. These programs are funded with state funds and are known as segregated state programs. Pennsylvania has implemented one such program known as the Time-Out Initiative.

The Time-Out Initiative promotes work and personal responsibility by providing an incentive to families to do more than what is required of them in their progression toward self-sufficiency.

It is expected that Time-Out will:

• Encourage early participation in work and/or work-related activities including education.

• Provide incentives to working families who exceed the minimum weekly work participation rates.

• Provide incentives to working families who take advantage of a combination of work and education that equals 30 hours per week.

• Provide incentives for persons who have exemptions from work requirements for medical reasons yet commit themselves to a program that maximizes their work participation by providing services that address their needs.

• Provide an exemption from the time limit for victims of domestic violence and kinship care families.

Of the State expenditures reported in question number 6, $27,401,879 of that amount funded Time-Out.

3. Purpose(s) of Benefit or Service Program:

The purpose of Pennsylvania’s TANF program is to provide short-term assistance to families when the support of one or both parents is interrupted. It also provides supplemental support when family income from employment and other sources is insufficient to meet basic needs.

Expenditures within Pennsylvania’s TANF program meet TANF purposes #1 and 2 found at 42 U.S.C.A. §601(a)(1) and (2) and 45 CFR §260.20(a) and (b). These are 1) to provide assistance to needy families so that children may be cared for in their homes or in the homes of relatives and 2) to end the dependence of needy parents on government benefits by promoting job preparation, work and marriage.

4. Program Type. (Check one)

_X_ This Program is operated under the TANF program.

___ This Program is a separate State program.

5. Description of Work Activities (Complete only if this program is a separate State program):

N/A

6. Total State Expenditures for the Program for the Fiscal Year: $216,372,836

7. Total State MOE Expenditures under the Program for the Fiscal Year: $216,372,836

8. Total Number of Families Served under the Program with MOE Funds: 92,440

This last figure represents (check one):

_X_ The average monthly total for the fiscal year.

___ The total served over the fiscal year.

9. Financial eligibility Criteria for Receiving MOE-funded Program Benefits or Services:

The financial eligibility for TANF cash assistance is determined by comparing the net countable income for a calendar month to the budget group’s Family Size Allowance (FSA) plus any special needs allowances. If the income equals or exceeds the FSA plus any special needs allowances, the budget group is ineligible for TANF. Refer to 55 PA Code C. 183 Appendix B, Table 3 for the current FSA amounts. The resource limit for TANF eligibility is $1,000. Section VI., A., 7. of the TANF State Plan may also be referenced for information on TANF eligibility determination.

10. Prior Program Authorization: Was this program authorized and allowable under prior law? (check one)

Yes _X_ No ____

11. Total Program Expenditures in FY 1995. Not applicable
(NOTE: provide only if the response on to question 10 is No.)

This certifies that all families for which the State claims MOE expenditures for the fiscal year meet the State's criteria for "eligible families."

SIGNATURE: ___________________________________
NAME: Edward J. Zogby TITLE: Director, Bureau of Policy

Approved OMB No. 0970-0199 Form ACF 204, expires 6/30/2002

Attachment B

Annual Report on State Maintenance-of-Effort Programs: ACF-204

State: Pennsylvania Fiscal Year: 2004

Date Submitted: December 23, 2004

(Line 5C of ACF-196)
1. Name of Benefit or Service Program:

Employment and Training Special Allowances for Supportive Services

2. Description of the Major Program Benefits, Services, and Activities:

Employment and Training Special Allowances

Clients on cash assistance may need “special” allowances – such as clothing, books and tools to find, accept and maintain education, employment or training opportunities. Clients may receive special allowances from local CAOs for required items or services, up to pre-set maximum amounts.

The most frequently issued special allowance is for clothing. Clients may receive clothing allowances, capped at $150, once per job and as needed during their education or training. They may use this payment to buy work or school clothes, uniforms, or seasonal clothes, such as winter coats and boots. Clothing allowances also cover the costs of purchasing toiletries and grooming items.

Basic transportation allowances are available for goods and/or services necessary to enable employment and training program participants to prepare for, seek, accept and maintain education, employment or training. CAO transportation allowance payments are provided at actual costs up to a pre-set maximum amount of $250 per month.

Allowances for tools and equipment necessary for job training or employment are also available. Such items may include carpentry or mechanical tools, a lawn mower and other items needed to start up a landscaping business. These allowances, capped at $2,000, are available once per job and as needed during education or training.

Clients may also receive help paying for books and supplies required for education or training activities. Practical items such as books, notebooks, pens, paper and knapsacks – up to $500 per request – are covered.

Other allowances with frequency and dollar amount limits include: union dues, GED and other test fees, organizations fees, licenses to practice, moving and relocations costs to accept employment, overnight lodging and meals.

3. Purpose(s) of Benefit or Service Program:

Expenditures within Pennsylvania’s TANF program meet TANF purpose #2 found at
42 U.S.C.A. §601(a)(2) and 45 CFR §260.20 (b), which is to end the dependence of needy parents on government benefits by promoting job preparation, work and marriage.

4. Program Type. (Check one)

_X_ This Program is operated under the TANF program.

_____ This Program is a separate State program.

5. Description of Work Activities (Complete only if this program is a separate State program):

N/A

6. Total State Expenditures for the Program for the Fiscal Year: $13,314,652

7. Total State MOE Expenditures under the Program for the Fiscal Year: $13,314,652

8. Total Number of Families Served under the Program with MOE Funds: 92,440

This last figure represents (check one):

_X_ The average monthly total for the fiscal year.

____ The total served over the fiscal year.

9. Financial eligibility Criteria for Receiving MOE-funded Program Benefits or Services:

Individuals served must be eligible for TANF cash assistance. The financial eligibility for TANF is determined by comparing the net countable income for a calendar month to the budget group’s FSA plus any special needs allowances. If the income equals or exceeds the FSA plus any special needs allowances, the budget group is ineligible for TANF. Refer to 55 PA Code
C. 183 Appendix B, Table 3 for the current FSA amounts. The resource limit for TANF eligibility is $1,000. Section VI., A., 7. of the TANF State Plan may also be referenced for information on the TANF eligibility determination.

10. Prior Program Authorization: Was this program authorized and allowable under prior law? (check one)

Yes _X_ No

11. Total Program Expenditures in FY 1995. Not applicable
(NOTE: provide only if the response on to question 10 is No.)

This certifies that all families for which the State claims MOE expenditures for the fiscal year meet the State's criteria for "eligible families."

SIGNATURE: ___________________________________
NAME: Edward J. Zogby TITLE: Director, Bureau of Policy

Approved OMB No. 0970-0199 Form ACF 204, expires 6/30/2002.

Attachment B

Annual Report on State Maintenance-of-Effort Programs: ACF-204

State: Pennsylvania Fiscal Year: 2004

Date Submitted: December 23, 2004

(Line 6A3 of ACF-196)
1. Name of Benefit or Service Program:

Other work activities/expenses

2. Description of the Major Program Benefits, Services, and Activities:

Other Work Activities/Expenses

Several programs are covered under this expenditure. The Supported Work Program (SWP) is a joint venture between DPW and the Department of Community and Economic Development (DCED). Funds are transferred from DPW to DCED through a Memorandum of Understanding for the administration of this program. SWP provides TANF and Food Stamp recipients with job search activities and on-site assistance to help participants obtain unsubsidized employment. It is designed to prepare and assist recipients with a 9th grade education or less in finding and maintaining employment.

DPW provides funding to the Department of Labor and Industry through a Memorandum of Understanding. The Department of Labor and Industry contracts with the Workforce Investment Act (WIA) fiscal agents to provide various RESET activities. One of the contracted agencies, St. Benedict’s, was awarded a sole source contract to provide employment and training (E&T) services to clients through programs such as 1) the Single Point of Contact program which provides education, skills training, job placement services and job retention to welfare clients with significant barriers to employment; (2) Directed Job Search, which provides 30 days of intensive job placement services for post-24 month clients who have either a high school diploma, GED or work history; 3) the Up Front and Rapid Attachment program which provides intensive job search workshops, job development and job placement services for welfare clients.

This expenditure also includes special allowances (non-transportation) issued to attend the above programs and non-administrative costs for E&T functions in the CAOs.

3. Purpose(s) of Benefit or Service Program:

Expenditures within Pennsylvania’s TANF program meet TANF purpose #3 found at
42 U.S.C.A. §601(a)(3) and 45 CFR §260.20 (c), which is to prevent and reduce the incidence of out-of-wedlock pregnancies and establish annual numerical goals for preventing and reducing the incidence of these pregnancies.

4. Program Type. (Check one)

_ X_ This Program is operated under the TANF program.

____ This Program is a separate State program.

5. Description of Work Activities (Complete only if this program is a separate State program):

N/A

6. Total State Expenditures for the Program for the Fiscal Year: $42,362,232

7. Total State MOE Expenditures under the Program for the Fiscal Year: $42,362,232

8. Total Number of Families Served under the Program with MOE Funds: 28,570

This last figure represents (check one):

_X_ The average monthly total for the fiscal year.

___ The total served over the fiscal year.

9. Financial eligibility Criteria for Receiving MOE-funded Program Benefits or Services:

Individuals served must be eligible for TANF cash assistance. The financial eligibility for TANF is determined by comparing the net countable income for a calendar month to the budget group’s FSA plus any special needs allowances. If the income equals or exceeds the FSA plus any special needs allowances, the budget group is ineligible for TANF Cash. Refer to 55 PA Code C. 183 Appendix B, Table 3 for the current FSA amounts. The resource limit for TANF eligibility is $1,000. Section VI., A., 7. of the TANF State Plan may also be referenced for information on the TANF eligibility determination.

10. Prior Program Authorization: Was this program authorized and allowable under prior law? (check one)

Yes _X_ No

11. Total Program Expenditures in FY 1995. Not applicable
(NOTE: provide only if the response on to question 10 is No.)

This certifies that all families for which the State claims MOE expenditures for the fiscal year meet the State's criteria for "eligible families."

SIGNATURE: ___________________________________
NAME: Edward J. Zogby TITLE: Director, Bureau of Policy

Approved OMB No. 0970-0199 Form ACF 204, expires 6/30/2002.

Attachment B

Annual Report on State Maintenance-of-Effort Programs: ACF-204

State: Pennsylvania Fiscal Year: 2004

Date Submitted: December 23, 2004

(Line 6b of ACF-196)
1. Name of Benefit or Service Program:

Child Care

2. Description of the Major Program Benefits, Services, and Activities:

Child Care

Two different types of child care allowances are available to help parents pay their child care expenses. One is the child care allowance issued by the CAOs under the RESET program. The parent is eligible for the allowance while receiving TANF cash assistance and participating in an approved work-related activity, such as school or training.

The other type of child care allowance, Child Care Works (CCW), is Pennsylvania’s program for improving the quality and increasing the availability of safe, affordable child care for families. CCW helps eligible low-income working families and families receiving cash assistance remain self-sufficient by helping to pay their child care costs.

3. Purpose(s) of Benefit or Service Program:

Expenditures within Pennsylvania’s TANF program meet TANF purpose #1 found at
42 U.S.C.A. §601(a)(1) and 45 CFR §260.20 (a), which is to provide assistance to needy families so that children may be cared for in their own homes or in the homes of relatives.

4. Program Type. (Check one)

_X_ This Program is operated under the TANF program.

___ This Program is a separate State program.

5. Description of Work Activities (Complete only if this program is a separate State program):

N/A

6. Total State Expenditures for the Program for the Fiscal Year: $79,942,638

7. Total State MOE Expenditures under the Program for the Fiscal Year: $79,942,638

8. Total Number of Families Served under the Program with MOE Funds: 92,440

This last figure represents (check one):

_X_ The average monthly total for the fiscal year.

____ The total served over the fiscal year.

9. Financial eligibility Criteria for Receiving MOE-funded Program Benefits or Services:

Child care allowance issued under the RESET program - Individuals must be eligible for TANF cash assistance and be participating in an approved work-related activity, such as school or training. The financial eligibility for TANF is determined by comparing the net countable income for a calendar month to the budget group’s FSA plus any special needs allowances. If the income equals or exceeds the FSA plus any special needs allowances. If the income equals or exceeds the FSA plus any special needs allowances, the budget group is ineligible for TANF. Refer to 55 PA Code C. 183 Appendix B, Table 3 for the current FSA amounts. The resource limit for TANF eligibility is $1,000. Section VI., A., 7. of the TANF State Plan may also be referenced for information on the TANF eligibility determination.

CCW - Individuals must be employed and either TANF eligible or a former TANF recipient. Former TANF recipients may qualify for CCW through the Child Care Information Services agency if they are automatically transferred by the CAO when their TANF case closes and their income is under 235% of the FPIGs.

10. Prior Program Authorization: Was this program authorized and allowable under prior law? (check one)

Yes _X_ No

11. Total Program Expenditures in FY 1995. Not applicable
(NOTE: provide only if the response on to question 10 is No.)

This certifies that all families for which the State claims MOE expenditures for the fiscal year meet the State's criteria for "eligible families."

SIGNATURE: ___________________________________
NAME: Edward J. Zogby TITLE: Director, Bureau of Policy

Approved OMB No. 0970-0199 Form ACF 204, expires 6/30/2002.

Attachment B

Annual Report on State Maintenance-of-Effort Programs: ACF-204

State: Pennsylvania Fiscal Year: 2004

Date Submitted: December 23, 2004

(Line 6C2 of ACF-196)
1. Name of Benefit or Service Program:

Transportation (Other)

2. Description of the Major Program Benefits, Services, and Activities:

Transportation

To provide special transportation allowances (up to set maximums) to pay for goods and/or services necessary to enable Employment and Training Program participants to prepare for, seek, accept and maintain education, employment or training.

3. Purpose(s) of Benefit or Service Program:

4. Program Type. (Check one)

_X_ This Program is operated under the TANF program.

____ This Program is a separate State program.

5. Description of Work Activities (Complete only if this program is a separate State program):

N/A

6. Total State Expenditures for the Program for the Fiscal Year: $1,440,800

7. Total State MOE Expenditures under the Program for the Fiscal Year: $1,440,800

8. Total Number of Families Served under the Program with MOE Funds: 92,440

This last figure represents (check one):

_X_ The average monthly total for the fiscal year.

The total served over the fiscal year.

9. Financial eligibility Criteria for Receiving MOE-funded Program Benefits or Services:

Individuals served must be eligible for TANF cash assistance. The financial eligibility for TANF is determined by comparing the net countable income for a calendar month to the budget group’s FSA plus any special needs allowances. If the income equals or exceeds the FSA plus any special needs allowances, the budget group is ineligible for TANF Cash. Refer to 55 PA Code C. 183 Appendix B, Table 3 for the current FSA amounts. The resource limit for TANF eligibility is $1,000. Section VI., A., 7. of the TANF State Plan may also be referenced for information on the TANF eligibility determination.

10. Prior Program Authorization: Was this program authorized and allowable under prior law? (check one)

Yes _X_ No

11. Total Program Expenditures in FY 1995. Not applicable
(NOTE: provide only if the response on to question 10 is No.)

This certifies that all families for which the State claims MOE expenditures for the fiscal year meet the State's criteria for "eligible families."

SIGNATURE: ___________________________________
NAME: Edward J. Zogby TITLE: Director, Bureau of Policy

Approved OMB No. 0970-0199 Form ACF 204, expires 6/30/2002.

Attachment B

Annual Report on State Maintenance-of-Effort Programs: ACF-204

State: Pennsylvania Fiscal Year: 2004

Date Submitted: December 23, 2004

(Line 6G of ACF-196)
1. Name of Benefit or Service Program:

Emergency Shelter Allowance (ESA) and other Non-recurrent Short-term Benefits

2. Description of the Major Program Benefits, Services, and Activities:

ESA
DPW provides eligible families with funds to meet certain shelter needs. Families may receive up to $300 to provide permanent living quarters, $400 to prevent eviction or foreclosure or $100 to provide temporary shelter. Eligibility for temporary shelter is available when a dwelling is uninhabitable, when a dwelling has been condemned as a result of a disaster, or when the family had to leave a permanent residence because of a domestic violence situation.

Other Non-recurrent Short-term Benefits

Benefits issued to eligible families in the form of cash, vouchers, subsidies or similar form of payment to deal with a specific crisis situation or episode of need and excluded from the definition of assistance on that basis. These benefits do not include supportive services such as child care or transportation (including car repairs) or work activities and expenses (such as applicant job search) provided under a diversion program.

3. Purpose(s) of Benefit or Service Program:

The purpose of Pennsylvania’s ESA program is to help families secure permanent housing or prevent eviction.

Expenditures within Pennsylvania’s ESA and Other Non-recurrent Short-term Benefits program meet TANF purpose #1 found at 42 U.S.C.A. §601(a)(1) and 45 CFR §260.20(a), which is to provide assistance to needy families so that children may be cared for in their homes or in the homes of relatives.

4. Program Type. (Check one)

_X_ This Program is operated under the TANF program.

___ This Program is a separate State program.

5. Description of Work Activities (Complete only if this program is a separate State program):

N/A

6. Total State Expenditures for the Program for the Fiscal Year: $3,931,983

7. Total State MOE Expenditures under the Program for the Fiscal Year: $3,931,983

8. Total Number of Families Served under the Program with MOE Funds: 6,262

This last figure represents (check one):

_X_ The average monthly total for the fiscal year.

The total served over the fiscal year.

9. Financial eligibility Criteria for Receiving MOE-funded Program Benefits or Services:

The financial eligibility for ESA requires that the annual income does not exceed 80% of the FPIGs. There is no resource limit for individuals (pregnant women) under age 21 or families with children under age 21.

10. Prior Program Authorization: Was this program authorized and allowable under prior law? (check one)

Yes _X_ No ___

11. Total Program Expenditures in FY 1995. Not applicable
(NOTE: provide only if the response on to question 10 is No.)

This certifies that all families for which the State claims MOE expenditures for the fiscal year meet the State's criteria for "eligible families."

SIGNATURE: ___________________________________
NAME: Edward J. Zogby TITLE: Director, Bureau of Policy

Approved OMB No. 0970-0199 Form ACF 204, expires 6/30/2002

Attachment B

Annual Report on State Maintenance-of-Effort Programs: ACF-204

State: Pennsylvania Fiscal Year: 2004

Date Submitted: December 23, 2004

(Line 6I of ACF-196)
1. Name of Benefit or Service Program:

Parent/Family Formation and Maintenance

HOPE (Helping Offenders Parent Effectively)

2. Description of the Major Program Benefits, Services, and Activities:

Funding used to contract with Kidz Now to provide parenting skills in a group therapy environment for 840 inmates in 13 Community Corrections Centers who will eventually be reunited with their families.

3. Purpose(s) of Benefit or Service Program:

The program is designed to build on parenting skills learned in prison with an emphasis on the importance of financial responsibility for non-custodial parents.

Expenditures within Pennsylvania’s HOPE program meet TANF purpose #4 found at 42 U.S.C.A. §601(a)(4) and 45 CFR §260.20(d), which is to encourage the formation and maintenance of two-parent families.

4. Program Type. (Check one)

_X_ This Program is operated under the TANF program.

___ This Program is a separate State program.

5. Description of Work Activities (Complete only if this program is a separate State program):

6. Total State Expenditures for the Program for the Fiscal Year: $23,739

7. Total State MOE Expenditures under the Program for the Fiscal Year: $23,739

8. Total Number of Families Served under the Program with MOE Funds: 382

This last figure represents (check one): N/A

___ The average monthly total for the fiscal year.

_X_ The total served over the fiscal year.

9. Financial eligibility Criteria for Receiving MOE-funded Program Benefits or Services:

Individuals served must be parent offenders.

10. Prior Program Authorization: Was this program authorized and allowable under prior law? (check one)

Yes ____ No _X_

11. Total Program Expenditures in FY 1995. Not applicable
(NOTE: provide only if the response on to question 10 is No.)

Please note that expenditures for this program are entirely Federal TANF funds. We are taking action to correct.

SIGNATURE: ___________________________________
NAME: Edward J. Zogby TITLE: Director, Bureau of Policy

Approved OMB No. 0970-0199 Form ACF 204, expires 6/30/2002.

Attachment B

Annual Report on State Maintenance-of-Effort Programs: ACF-204

State: Pennsylvania Fiscal Year: 2004

Date Submitted: December 23, 2004

(Line 6J of ACF-196)
1. Name of Benefit or Service Program:

Administration Costs

2. Description of the Major Program Benefits, Services, and Activities:

Funds in this category are used to administer various programs. These programs include State staff for Adoption and Foster Care Analysis and Reporting System (AFCARS) known in Pennsylvania as the Pennsylvania Child Welfare Information System (PACWIS), Systematic Alien Verification for Entitlements (SAVE) program expenditures, Emergency Assistance, and Fraud Investigation.

The SAVE program verifies the immigration status of all aliens who receive cash assistance, food stamps, and Medicaid, except for emergency Medicaid. The verification is done through methods provided by the United States Citizenship and Immigration Services (USCIS).

3. Purpose(s) of Benefit or Service Program:

4. Program Type. (Check one)

_X_ This Program is operated under the TANF program.

___ This Program is a separate State program.

5. Description of Work Activities (Complete only if this program is a separate State program):

N/A

6. Total State Expenditures for the Program for the Fiscal Year: $44,319,154

7. Total State MOE Expenditures under the Program for the Fiscal Year: $44,319,154

8. Total Number of Families Served under the Program with MOE Funds: 92,440

This last figure represents (check one): N/A

_X_ The average monthly total for the fiscal year.

___ The total served over the fiscal year.

9. Financial eligibility Criteria for Receiving MOE-funded Program Benefits or Services:

N/A

10. Prior Program Authorization: Was this program authorized and allowable under prior law? (check one)

Yes _X_ No ___

11. Total Program Expenditures in FY 1995. N/A
(NOTE: provide only if the response on to question 10 is No.)

This certifies that all families for which the State claims MOE expenditures for the fiscal year meet the State's criteria for "eligible families."

SIGNATURE: ___________________________________
NAME: Edward J. Zogby TITLE: Director, Bureau of Policy

Approved OMB No. 0970-0199 Form ACF 204, expires 6/30/2002.

Attachment B

Annual Report on State Maintenance-of-Effort Programs: ACF-204

State: Pennsylvania Fiscal Year: 2004

Date Submitted: December 23, 2004

(Line 6K of ACF-196)
1. Name of Benefit or Service Program:

Benefit Delivery System

2. Description of the Major Program Benefits, Services, and Activities:

The Office of Information Systems (OIS) costs associated with program measure 11683 (included on Line 6K of the ACF-196part of) Maint. Assist. ADP Non-Admin. Cost Allocation are not specifically Client Information System (CIS) but have a Temporary Assistance for Needy Families (TANF) component: These programs are Automated Data Processing (ADP) applications: Data Warehouse Production, Office of Hearings and Appeals (OHA) Client Appeals, Recovery Management System, the Department of Public Welfare (DPW) History Retention, Automated Restitution Recovery and Computation System (ARRC), Office of Income Maintenance (OIM) Decision Support Activity, Employment and Training (JOBS), Automated Information Management System, OIS Test Environment Project, Enterprise WEB Development, Enterprise Content Management, LAN/Network Support, Inter-Department Crossmatch Corrections, Inter-State Benefit Crossmatch Corrections.

The OIS costs associated with program measure 12605 (also included on Line 6K of the ACF-196) CIS Operating Non -ADM Cost Allocation are specific to CIS having a TANF component: CIS, CIS TANF/Med., Act 35 Welfare Reform, Geographical Information System.

However there are more than OIS costs being charged to these program measures. Both program measure 11683 and program measure 12605 are linked to the following account codes and appropriations:

Account Code	Office
021-982-01-1100	OIS TANF BG (Block Grant)
021-981-01-1100	TANF BG-Administration
021-937-01-1100	TANF BG-Statewide
021-761-01-1100	TANF BG-County Assistance
021-705-01-1100	TANF BG-New Directions
021-182-01-1100	County Assistance Offices
021-181-01-1100	General Government Operations
021-159-01-1100	Office of Information Systems

3. Purpose(s) of Benefit or Service Program:

Support for the entire TANF benefit delivery system in Pennsylvania – training, hardware, software and staff.

4. Program Type. (Check one)

_X_ This Program is operated under the TANF program.

____ This Program is a separate State program.

5. Description of Work Activities (Complete only if this program is a separate State program):

N/A

6. Total State Expenditures for the Program for the Fiscal Year: $5,417,566

7. Total State MOE Expenditures under the Program for the Fiscal Year: $5,417,566

8. Total Number of Families Served under the Program with MOE Funds: 92,440

This last figure represents (check one): N/A

____ The average monthly total for the fiscal year.

____ The total served over the fiscal year.

9. Financial eligibility Criteria for Receiving MOE-funded Program Benefits or Services:

N/A

10. Prior Program Authorization: Was this program authorized and allowable under prior law? (check one)

Yes _X_ No ___

11. Total Program Expenditures in FY 1995. Not applicable
(NOTE: provide only if the response on to question 10 is No.)

This certifies that all families for which the State claims MOE expenditures for the fiscal year meet the State's criteria for "eligible families."

SIGNATURE: ___________________________________
NAME: Edward J. Zogby TITLE: Director, Bureau of Policy

Approved OMB No. 0970-0199 Form ACF 204, expires 6/30/2002.

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This is a Historical Document.