Form 696T Child Care and Development Fund (CCDF) ACF-696T Financia

Generic Clearance for Financial Reports used for ACF Non-Discretionary Grant Programs

Child Care 696T Form_non-substantive changes (clean).xlsx

Child Care and Development Fund (CCDF) ACF-696T Financial Report for Tribal Grantees

OMB: 0970-0510

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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









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. Expenditures 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














































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