| CHILD CARE AND DEVELOPMENT FUND ACF-696T FINANCIAL REPORT |
|
|
|
|
|
|
|
|
|
|
|
|
| Tribal Lead Agency: |
Grant Year (FFY grant was awarded):
|
|
GDN: |
|
|
Submission:
[ ] Original
[ ] Revised |
Final Report:
[ ] Yes
[ ] No |
Yellow highlighted cells = Line 9 opening up for all columns and addition of line 13b to accommodate new Final Rule.
Orange shading=delete/gray out |
|
|
|
|
|
|
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 (H)
DISCRETIONARY
CARES ACT FUNDS
Grant Document #
CCC3 |
Column (I)
DISCRETIONARY
CARES ACT FUNDS
CONST. & MAJOR RENOVATION
Grant Document #
CYC3 |
Column (J) DISCRETIONARY
CRRSA FUNDS
Grant Document #
CCC5 |
Column (K)
DISCRETIONARY
CRRSA FUNDS
CONST. & MAJOR RENOVATION
Grant Document #
CYC5 |
COLUMN (L)
SUPPLEMENTAL DISCRETIONARY
ARP ACT FUNDS
Grant Document #
CDC6 |
COLUMN (M)
SUPPLEMENTAL DISCRETIONARY
ARP ACT FUNDS
CONST. & MAJOR RENOVATION
Grant Document #
CONTCDC6 |
COLUMN (N)
STABILIZATION
ARP ACT FUNDS
BASE AMOUNT
Grant Document #
CSC6 |
COLUMN (O)
STABILIZATION
ARP ACT FUNDS
NON-BASE AMOUNT
Grant Document #
CSC6 |
COLUMN (P)
STABILIZATION
ARP ACT FUNDS
CONST. & MAJOR RENOVATION
Grant Document #
CONTCSC6 |
| 1. Federal Funds Awarded |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2. Transfer to Construction or Major 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. Obligations for Construction / Major Renovation |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 10. ARP Act Stabilization Sub-Grants to Providers |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 11. ARP Act Stabilization Set Aside (Admin & TA) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 11(a) Subgrant administration |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 11(b) Systems |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 11(c) TA - application |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 11(d) TA - implementation |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 11(e) Publicity |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 11(f) Activities to Build Supply |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 12. Total Federal Expenditures |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 13a. Total Federal obligations (Not Yet Liquidated) (excluding Construction/Major Renovation) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 13b. Total Federal obligations (Not Yet Liquidated) for Construction/Major Renovation |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 14. Total Federal Unobligated balance |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 15. Reallotted Funds: If available, does the Tribe request reallotted discretionary funds? Please refer to reallotted funds information in the instructions. 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. |
|
YES [ ] NO [ ] |
|
|
|
|
|
|
|
|
|
|
|
|
|
| Signature Information |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 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 6 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. |
|
[Threaded comment]
Your version of Excel allows you to read this threaded comment; however, any edits to it will get removed if the file is opened in a newer version of Excel. Learn more: https://go.microsoft.com/fwlink/?linkid=870924
Comment:
Need to update OMB Control No. and Expiration Date with new information.
EXPIRATION DATE: XX/XX/XXXX |