Annual Report on Children in Foster Homes and Children in Families Receiving Payment in Excess of the Poverty Income Level from a State Program Funded Under Part A of Title IV o (ACF-4125)

OMB 0970-0004

DHHS is required to collect these data under section 1124 of Title I of the Elementary and Secondary Education Act, as amended by PL 103-382. The data are used by the U.S. Department of Education for allocation of funds for programs to aid disadvantaged elementary and secondary students. Respondents include various components of State Human Service agencies.

The latest form for Annual Report on Children in Foster Homes and Children in Families Receiving Payment in Excess of the Poverty Income Level from a State Program Funded Under Part A of Title IV o (ACF-4125) expires 2021-03-31 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
Form ACF 4125 Annual Report on Children in Foster Homes and in Families Receiving Payments in Excess of the Poverty Income Level from a State Program Form
Supporting Statement_ACF-4125_2.4.21.docx Supporting Statement A
Annual Report on Children in Foster Homes and in Families Receiving Payments in Excess of the Poverty Income Level from a State Program Form

All Historical Document Collections

202103-0970-005 Approved without change	Extension without change of a currently approved collection	2021-03-16
201712-0970-003 Approved with change	Reinstatement without change of a previously approved collection	2017-12-14
201409-0970-003 Approved without change	Extension without change of a currently approved collection	2014-09-26
201111-0970-005 Approved without change	Extension without change of a currently approved collection	2011-11-16
200811-0970-004 Approved without change	Extension without change of a currently approved collection	2008-11-19
200510-0970-002 Approved without change	Extension without change of a currently approved collection	2005-10-19
200201-0970-005 Approved without change	Extension without change of a currently approved collection	2002-01-31
199810-0970-001 Approved without change	Reinstatement with change of a previously approved collection	1998-10-19
199711-0970-001 Approved without change	Reinstatement with change of a previously approved collection	1997-11-24
199210-0970-002 Approved without change	Extension without change of a currently approved collection	1992-10-22
198908-0970-003 Approved without change	Extension without change of a currently approved collection	1989-08-21
198703-0970-008 Approved without change	Extension without change of a currently approved collection	1987-03-24