| CHILD CARE AND DEVELOPMENT FUND ACF-696T FINANCIAL REPORT |
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Tribe:
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Grant Year (FFY grant was awarded):
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GDN: |
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Final Report:
[ ] Yes
[ ] No |
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Expenditure Period: 10/1/______ |
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TO 9/30/_______ |
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| Cumulative Fiscal Year Totals |
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COLUMN (A)
MANDATORY
Grant Document # CCDF |
COLUMN (B)
DISCRETIONARY
(Not including Base)
Grant Document #
CCDD |
COLUMN (C)
DISCRETIONARY
Base Amount
Grant Document #
CCDD |
COLUMN (D) CONST. & MAJOR RENOVATION
MANDATORY
Grant Document #
CONT |
COLUMN (E) CONST. & MAJOR RENOVATION
DISCRETIONARY
Grant Document # CONT |
COLUMN (F)
DISCRETIONARY
DISASTER RELIEF FUNDS
Grant Document #
CCDX |
COLUMN (G)
DISCRETIONARY
DISASTER RELIEF FUNDS
CONST. & MAJOR RENOVATION
Grant Document #
CCDY |
Column (H)
DISCRETIONARY
CARES ACT FUNDS
Grant Document #
CCC3 |
Column (I)
DISCRETIONARY
CARES ACT FUNDS
CONST. & MAJOR RENOVATION
Grant Document #
CYC3 |
Column (J) DISCRETIONARY
CRRSA FUNDS
Grant Document #
CCC5 |
Column (K)
DISCRETIONARY
CRRSA FUNDS
CONST. & MAJOR RENOVATION
Grant Document #
CYC5 |
| 1. Federal Funds Awarded |
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| 2. Transfer to Constructions / Renovation |
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| 3. Total Funds Available |
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| 4. Expenditures for Direct Child Care Services |
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| 5. Expenditures for Child Care Administration |
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| 6. Expenditures for Non-Direct Services |
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| 7. Expenditures for Quality Activites (excluding infant and toddler quality activites reported on line 8) |
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| 8. Expenditures for Infant/Toddler Quality Activities |
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| 9. Expenditures for Construction / Major Renovation |
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| 10. Total Federal Expenditures |
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| 11. Total Federal Unliquidated obligations |
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| 12. Total Federal Unobligated balance |
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| Reallotted Funds |
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| Please refer to reallotted funds information in the instructions. |
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| If available, does the Tribe request reallotted discretionary funds? |
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| [ ] YES |
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| [ ] NO |
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| IF THIS REPORT IS NOT RECEIVED WITHIN 90 DAYS AFTER THE END OF THE FISCAL YEAR IN WHICH THE GRANT WAS AWARDED (12/29), THE TRIBE WILL NOT BE ELIGIBLE FOR REALLOTMENT. |
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| Signatures |
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| This is to certify that the information reported on all parts of this form is accurate and true to the best of my knowledge and belief. |
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| This also certifies that the tribal lead agency has expended required funds in accordance with CCDF regulation. |
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Signature: Tribal Official
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Typed Name:
Title:
Agency Name: |
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[Threaded comment]
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Comment:
Grantee e-signatures are as of the "certified" date. OLDC auto-inputs the report submissio date.
Date Certified:
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Phone #:
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FORM ACF - 696T
APPROVED OMB CONTROL NO. 0970-0510
EXPIRATION DATE: 05/31/2021 |
THE PAPERWORK REDUCTION ACT OF 1995 (Pub. L. 104-13): Public reporting burden for this collection of information is estimated to average 7 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. |
| Submit Date: |
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