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OMB Control Number: 0970-0490; Expiration date: 01/31/2020 | ||||||||||||||

Wilson-Fish Alternative Program Recipient Data |
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1. WF Agency/State or County: |
2. Federal Fiscal Year: |
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A: FY Recipients of WF Assistance and Services by Immigration Status |
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Immigration Status: |
a.Refugees |
% of Total |
b.C/H Entrants |
% of Total |
c.Asylees |
% of Total |
d. TraffickingVictims |
% of Total |
e.SIVs Iraqi/ Afghan |
% of Total |
f.Secondary Migrants |
% of Total |
g.Total |
%Total |

1. Number of FY Arrivals | #DIV/0! | #DIV/0! | #DIV/0! | #DIV/0! | #DIV/0! | #DIV/0! | 0 |
#DIV/0! |
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2. Number of RCA Recipients from FY Arrivals | #DIV/0! | #DIV/0! | #DIV/0! | #DIV/0! | #DIV/0! | #DIV/0! | 0 |
#DIV/0! |
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3. Number of RCA Differential Recipients from FY Arrivals | #DIV/0! | #DIV/0! | #DIV/0! | #DIV/0! | #DIV/0! | #DIV/0! | 0 |
#DIV/0! |
||||||

4. Number of RMA Recipients from FY Arrivals | #DIV/0! | #DIV/0! | #DIV/0! | #DIV/0! | #DIV/0! | #DIV/0! | 0 |
#DIV/0! |
||||||

5. Number of RMA-only Recipients from FY Arrivals | #DIV/0! | #DIV/0! | #DIV/0! | #DIV/0! | #DIV/0! | #DIV/0! | 0 |
#DIV/0! |
||||||

6. Number of RSS-only Recipients from FY Arrivals | #DIV/0! | #DIV/0! | #DIV/0! | #DIV/0! | #DIV/0! | #DIV/0! | 0 |
#DIV/0! |
||||||

7. Total Number of Unduplicated WF Recipients from FY Arrivals | 0 |
#DIV/0! |
0 |
#DIV/0! |
0 |
#DIV/0! |
0 |
#DIV/0! |
0 |
#DIV/0! |
0 |
#DIV/0! |
0 |
#DIV/0! |

8. Number of RCA Carryover Recipients | #DIV/0! | #DIV/0! | #DIV/0! | #DIV/0! | #DIV/0! | #DIV/0! | 0 |
#DIV/0! |
||||||

9. Number of RCA Differential Carryover Recipients | #DIV/0! | #DIV/0! | #DIV/0! | #DIV/0! | #DIV/0! | #DIV/0! | 0 |
#DIV/0! |
||||||

10. Number of RMA Carryover Recipients | #DIV/0! | #DIV/0! | #DIV/0! | #DIV/0! | #DIV/0! | #DIV/0! | 0 |
#DIV/0! |
||||||

11. Number of RMA-only Carryover Recipients | #DIV/0! | #DIV/0! | #DIV/0! | #DIV/0! | #DIV/0! | #DIV/0! | 0 |
#DIV/0! |
||||||

12. Number of RSS-only Carryover Recipients | #DIV/0! | #DIV/0! | #DIV/0! | #DIV/0! | #DIV/0! | #DIV/0! | 0 |
#DIV/0! |
||||||

13. Total Number of Unduplicated Carryover Recipients | 0 |
#DIV/0! |
0 |
#DIV/0! |
0 |
#DIV/0! |
0 |
#DIV/0! |
0 |
#DIV/0! |
0 |
#DIV/0! |
0 |
#DIV/0! |

14. Total Number of FY Unduplicated WF Recipients | 0 |
#DIV/0! |
0 |
#DIV/0! |
0 |
#DIV/0! |
0 |
#DIV/0! |
0 |
#DIV/0! |
0 |
#DIV/0! |
0 |
#DIV/0! |

15. Total Number of FY RCA & RCA Differential Recipients | 0 |
#DIV/0! |
0 |
#DIV/0! |
0 |
#DIV/0! |
0 |
#DIV/0! |
0 |
#DIV/0! |
0 |
#DIV/0! |
0 |
#DIV/0! |

16. Total Number of FY RMA Recipients | 0 |
#DIV/0! |
0 |
#DIV/0! |
0 |
#DIV/0! |
0 |
#DIV/0! |
0 |
#DIV/0! |
0 |
#DIV/0! |
0 |
#DIV/0! |

B: FY Arrivals by Case Composition Type |
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Case Composition Type |
a. RCA Type |
b. TANF Type |
c. SSI eligible |
d. Total |
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1. Number of FY Arrivals | 0 |
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2. Percentage of Total Arrivals | #DIV/0! |
#DIV/0! |
#DIV/0! |
#DIV/0! |
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C: FY Cash Assistance Recipients by Cash Assistance Type |
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Cash Assistance Type |
a. RCA |
b. RCA Differential |
c. SSI eligible |
d. Former MG Enrollees |
e. Total |
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1. Number of Recipients from FY Arrivals | 0 | 0 | 0 |
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2. Number of Recipients from Previous FY Arrivals | 0 | 0 | 0 |
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3. Total Number of FY Cash Assistance Recipients | 0 |
0 |
0 |
0 |
0 |
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THE PAPERWORK REDUCTION ACT OF 1995 (Pub. L. 104-13) | ||||||||||||||

Public reporting burden for this collection of information is estimated to average two (2) 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. |

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File Modified | 0000-00-00 |

File Created | 0000-00-00 |

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