Form ACF-800 Annual Aggregate Report

Child Care and Development Fund Annual Aggregate Report

acf_800_form_25Jun2020.xlsx

Child Care and Development Fund Annual Aggregate Report

OMB: 0970-0150

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OMB Approval Number: 0970-0150
FOR SERVICES PROVIDED FROM __________________ THROUGH __________________













Expires: 02/28/2022
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 Home Home







Number Served:














1. Number of families receiving














child care services














2. Number of children receiving














child care services














2a. Number of child fatalities














3a. Does the State claim public pre-














kindergarten expenditures on


Y N










CCDF-eligible children as State














CCDF Match?














3b. Does the State claim public pre-














kindergarten expenditures on


Y N










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














Consumer Education:














9a. Estimated number of families receiving














consumer education














9b. How are estimates of the number of














families receiving consumer














education determined?














10. No longer collected effective FFY2016 (OCC is not changing the numbering of the questions, so that users of the data are not confused when they analyze data across fiscal years.)











11. Indicate the Methods Used on














a Regular Basis:














11a. Written materials including














brochures, booklets, checklists,


Y N










newspaper articles, or billboards














about child care topics














11b. Counseling from Resource


Y N










and Referral Agencies, eligibility workers,














and other entities














11c. Mass media broadcasts














including TV announcements or


Y N










radio announcements about child














care topics














11d. Electronic media publications














or broadcasts including Internet


Y N










sites and webcasts about child care














topics














11e. Referral to other programs for














which parents might be eligible


Y N










Pooling Factor:














12. Is this report based on pooled CCDF and non-CCDF funds?







Y N





13. If this report is based on pooled CCDF and non-CCDF funds, what is the








%




percent of funds which are CCDF?














14. If this report is based on pooled CCDF and non-CCDF funds, please indicate














which non-CCDF funds are included in the pool.














14a. Title XX (Social Services Block Grant, SSBG)







Y N





14b. State-only child care funds (in excess of State funds used







Y N





to meet CCDF Match and MOE requirements)














14c. TANF direct funds for child care not transferred into CCDF







Y N





14d. Title IV-B or IV-E funds







Y N





14e. No longer collected effective FFY2016














14f. Other: (Please specify other non-CCDF funds included in the pool)







Y N





















Other: (Optional)






























15. Please enter explanatory comments - The Office of Child Care (OCC) understands that state and territory systems vary in how they collect and report data for families, children, and providers funded fully or partially with CARES Act dollars versus other CCDF or non-CCDF monies. Please describe the population of families, children, and providers reported under #1, #2, and #8 of this form: [please specify - refer to the ACF-800 instructions for guidance]
While your actual counts of families, children, and providers funded with CARES Act dollars may not be available as described above, we want all states and territories to provide annual estimates to help us understand how CARES Act dollars were used. Please provide numerical annual unduplicated estimates of the following broad categories of families, children and providers receiving subsidies for slots only, funded fully or partially through grants, contracts, or certificates. Do not include quality and supply grants that are NOT linked to the eligibility of specific families and children as those will be included under the Quality Progress Report.






15-1. Number of families and children served whose subsidy was fully or partially funded with CARES Act dollars






15-2. Number of essential worker families and children (e.g., medical workers, first responders, etc. as defined by the state) who received a subsidy because of the COVID-19 crisis (funded with CARES Act and broader CCDF dollars)






15-3. Number of providers that served children of essential workers (e.g., medical workers, first responders, etc. as defined by the state) who received a subsidy because of the COVID-19 crisis (funded with CARES Act and broader CCDF dollars)






15-4. Number of providers that closed for some period of time and received subsidies based on enrollment of subsidy-eligible children (funded with CARES Act and broader CCDF dollars)






16. Please attach any reports, materials, information developed as a result of the














use of CCDF quality funds.















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