4 TANF Data Report 4

SSP-MOE DATA REPORT - SECTION 4
NUMBER OF FAMILIES BY STRATUM FOR STATES THAT REPORT DATA BASED
ON A STRATIFIED SAMPLE

GENERAL INFORMATION

1.

State Fips Code

2.

Calendar Year and Quarter
Year

Y

Quarter

Y

Y

Y

Q

5. TOTAL NUMBER OF FAMILIES

3.

SSP-MOE Data Report
Section Indicator

4. Stratum

A. First Month

B. Second Month

C. Third Month

1.

2.

3.

4.

5.

6.

7.

8.

9.

OMB Number 0970-0338 - Expiration Date 04/30/2011
ACF - 209

SSP-MOE DATA REPORT - SECTION 4

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10.

11.

12.

OMB Number 0970-0338 - Expiration Date 04/30/2011
ACF - 209

SSP-MOE DATA REPORT - SECTION 4

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