4 MOE Report 4

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

GENERAL INFORM ATION

1.

Fips Code

2.

Calendar Year and Quarter
Year
Y

3.

SSP-MOE Data Report
Section indicator

Quarter
Y

Y

Y

Q

5. TOTAL NUMBER OF FAMILIES
4. STRATUM

A. FIRST MONTH

B. SECOND MONTH

C. THIRD MONTH

(1.)

(2.)

(3.)

(4.)

(5.)

OMB Number 0970-0199 - Expiration Date: 06/30/2002
ACF - 209

SSP-MOE DATA REPORT - SECTION 4

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(6.)

(7.)

(8.)

(9.)

(10.)

(11.)

(12.)

OMB Number 0970-0199 - Expiration Date: 06/30/2002
ACF - 209

SSP-MOE DATA REPORT - SECTION 4

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