Form Acf-800 - Child Care And Development Fund Annual Aggregate Report printable pdf download

Form Acf-800 - Child Care And Development Fund Annual Aggregate Report

CHILD CARE AND DEVELOPMENT FUND ANNUAL AGGREGATE REPORT (ACF-800)

(Effective for FFY 2010 and Subsequent Reports)

OMB Approval Number: 0970-0150

FOR SERVICES PROVIDED FROM __________________ THROUGH __________________

Expires: 06/30/2015

Complete Name of Grantee:

CATEGORY/TYPE OF CHILD CARE

CARE PROVIDED BY A LICENSED OR

CARE PROVIDED BY A LEGALLY OPERATING PROVIDER (LICENSE CATEGORY

Address:

REGULATED PROVIDER IN A

UNAVAILABLE IN A STATE OR LOCALITY) IN A

CHILD'S HOME BY A

FAMILY HOME BY A

GROUP HOME BY A

Contact Person, Phone & Email:

( A )

( B )

( C )

( D )

( E )

( F )

( G )

( H )

( I )

( J )

( K )

( L )

TOTAL

Child's

Family

Group

Center Relative Non-Relative Relative Non-Relative Relative Non-Relative Center

Home

Number Served:

1. Number of families receiving

child care services

2. Number of children receiving

child care services

3a. Does the State claim public pre-

kindergarten expenditures on

CCDF-eligible children as State

CCDF Match?

3b. Does the State claim public pre-

kindergarten expenditures on

CCDF-eligible children as State

CCDF MOE?

4. If yes to 3a or 3b, indicate the

estimated number of CCDF eligible

children receiving public pre-

kindergarten services for which

CCDF Match or MOE is claimed.

Payment Methods:

5. Number of children served

through grants or contracts

6. Number of children receiving

child care services through

certificates and/or cash

7. Of children served through

certificates, number of children

served through cash payments

directly to parents (only)

Provider Information:

8. Number of child care providers

receiving CCDF funding by type of

care

Form Acf-800 - Child Care And Development Fund Annual Aggregate Report

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