Form ACF-696T CCDF ACF-696T Financial Report for Tribal Grantees

CHILD CARE AND DEVELOPMENT FUND ACF-696T FINANCIAL REPORT
Tribe:	Grant Year (FFY grant was awarded):		GDN:			Submission: [ ] Original [ ] Revised
	Expenditure Period: 10/1/______		TO 9/30/_______
	Cumulative Fiscal Year Totals
	COLUMN (A) MANDATORY Grant Document # CCDF	COLUMN (B) DISCRETIONARY (Not including Base) Grant Document # CCDD	COLUMN (C) DISCRETIONARY Base Amount Grant Document # CCDD	COLUMN (D) CONST. & MAJOR RENOVATION MANDATORY Grant Document # CONT	COLUMN (E) CONST. & MAJOR RENOVATION DISCRETIONARY Grant Document # CONT	COLUMN (F) DISCRETIONARY DISASTER RELIEF FUNDS Grant Document # CCDX	COLUMN (G) DISCRETIONARY DISASTER RELIEF FUNDS CONST. & MAJOR RENOVATION Grant Document # CCDY	Column (H) DISCRETIONARY CARES ACT FUNDS Grant Document # CCC3	Column (I) DISCRETIONARY CARES ACT FUNDS CONST. & MAJOR RENOVATION Grant Document # CYC3
1. Federal Funds Awarded
2. Transfer to Constructions / Renovation
3. Total Funds Available
4. Expenditures for Direct Child Care Services
5. Expenditures for Child Care Administration
6. Expenditures for Non-Direct Services
7. Expenditures for Quality Activites (excluding infant and toddler quality activites reported on line 8)
8. Expenditures for Infant/Toddler Quality Activities
9. Expenditures for Construction / Major Renovation
10. Total Federal Expenditures
11. Total Federal Unliquidated obligations
12. Total Federal Unobligated balance
	Reallotted Funds
Please refer to reallotted funds information in the instructions.
If available, does the Tribe request reallotted discretionary funds?
[ ] YES
[ ] NO
IF THIS REPORT IS NOT RECEIVED WITHIN 90 DAYS AFTER THE END OF THE FISCAL YEAR in which the grant was awarded (12/29), THE TRIBE WILL NOT BE ELIGIBLE FOR REALLOTMENT.
	Signatures
This is to certify that the information reported on all parts of this form is accurate and true to the best of my knowledge and belief.
This also certifies that the tribal lead agency has expended required funds in accordance with CCDF regulation.
Signature: Tribal Official	Typed Name: Title: Agency Name:
Date Submitted:	Phone #:
Form: ACF - 696T
APPROVED OMB CONTROL NO. 0970-0510	THE PAPERWORK REDUCTION ACT OF 1995 (Pub. L. 104-13): Public reporting burden for this collection of information is estimated to average 5 hours per response, including the time for reviewing instructions, gathering and maintaining the data needed, and reviewing the collection of information. An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB control number.
EXPIRATION DATE: XXXXX