Attachment 4: State Lead Agency Assurance Statement

PI Attachment 4_State Lead Agency Assurance Statement.docx

Community-Based Child Abuse Prevention Program

Attachment 4: State Lead Agency Assurance Statement

OMB: 0970-0155

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ATTACHMENT 4: State Lead Agency Assurance Statement


COMMUNITY-BASED GRANTS FOR THE PREVENTION OF CHILD ABUSE AND NEGLECT PROGRAM

(TITLE II OF THE CAPTA AMENDMENTS OF 2010 (P.L. 111 -320))

STATE LEAD AGENCY ASSURANCE STATEMENT


STATE:


LEAD AGENCY:

On behalf of the abovenamed agency, which has been designated by the Governor of the state to be the lead agency responsible to administer the funds and assume the obligations imposed by the terms and conditions under the Community-Based Grants for the Prevention of Child Abuse and Neglect award, the following assurances are provided:

  1. A description of the inventory of current unmet needs and current community-based and prevention-focused programs and activities to prevent child abuse and neglect, and other

family resource services operating in the state, will be included with the Annual Performance Report (and subsequent year’s reports);

  1. Funds received under this title will supplement, not supplant, other state and local public

funds designated for the start-up, maintenance, expansion, and redesign of community-based and prevention-focused programs and activities to strengthen and support families to prevent child abuse and neglect;


  1. The state has the capacity to ensure the meaningful involvement of parents who are consumers and who can provide leadership in the planning, implementation, and evaluation of the programs and policy decisions of the applicant agency in accomplishing the desired outcomes for such efforts; and


  1. The lead agency will provide the Secretary with reports at such time and containing such information as the Secretary may require (and every year on the same date for the life of the grant).

Shape1 Shape2 (Signature of Responsible Lead Agency Administrator) (Typed Name and Title of Administrator)


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OMB Control # 0970-0155 (Expires 03/31/2027)

(Date)

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