Temporary Assistance For Needy Families Form Page 2

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Provide the following information for EACH PROGRAM (according to the
nature of service provided) for which the State claims MOE expenditures.
Complete and submit this report in accordance with the attached
instructions.
1. Name of Service Program
2. Description of the Major Program Benefits, Services, and Activities:
3. Purpose(s) of Service Program:
For examples of responses to items 1, 2 and 3, see 2005-2006
TANF MOE Report on DCF’s webpage
4. Can this program be reasonably calculated to prevent or reduce the
incidence of out-of-wedlock pregnancy? Yes _____ No _____.
5. Can this program be reasonably calculated to encourage the
formation and maintenance of two-parent families?
Yes ____ No ____
6. Prior Program Authorization: Was the program authorized in federal
fiscal year 1995?
Yes _______ No _______
If answer to question 6 is “YES,” list Total Program Expenditures in FY
1995: $_______________________
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