Form ACF-800 Annual Aggregate Report

OMB Approval Number: 0970-0150

FOR SERVICES PROVIDED FROM __________________ THROUGH __________________

Expires: 03/31/2025

State/Territory Name:

CATEGORY/TYPE OF CHILD CARE

CARE PROVIDED BY A LICENSED OR

CARE PROVIDED BY A LEGALLY OPERATING PROVIDER (LICENSE CATEGORY

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 (First, Middle, Last Name)

( A )

( B )

( C )

( D )

( E )

( F )

( G )

( H )

( I )

( J )

( K )

( L )

Contact Person Phone: Phone Type: (select one) Work, Mobile

TOTAL

Child's

Family

Group

Center

Relative

Non-Relative

Relative

Non-Relative

Relative

Non-Relative

Center

Contact Person Email:

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?

13a. If this year's pooling factor has changed more than +/- 5% since last year, please explain what led to the change

______________________________________

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: COVID-19 Supplemental CCDF Funding

15. Please enter data elements as appropriate - 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 any of the COVID-19 supplemental CCDF funds appropriated by the Coronavirus Aid, Relief, and Economic Security (CARES) Act, Coronavirus Response and Relief Supplemental Appropriations (CRRSA) Act, and the American Rescue Plan (ARP) Act versus other CCDF or non-CCDF monies. Please specify the COVID-19 supplemental CCDF funds used for 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]

Check all that apply. □ CCDF CARES Act Funding: □ My state has included ALL families, children, and providers with subsidies funded with CCDF CARES Act funding in this report. □ My state has included a subset of families, children, and providers with subsidies funded by CCDF CARES Act: (check all the subsets that apply) □ those families, children and providers who were funded fully or partially based on children’s enrollment rather than attendance □ children of essential workers (e.g., medical workers, first responders, etc. as defined by the state) and providers who provided child care services to them □ those families, children and providers where the state paid another provider for the same time of service (double pay of both a closed and open provider) □ some other subset. Describe: _____________. □ My state has NOT included families, children, and providers funded with CCDF CARES Act funds. □ CCDF CRRSA Act Funding: □ My state has included ALL families, children and providers with subsidies funded with CCDF CRRSA Act funding in this report. □ My state has included a subset of families, children, and providers with subsidies funded by CCDF CRRSA Act: (check all the subsets that apply) □ those families, children and providers who were funded fully or partially based children’s enrollment rather than attendance □ children of essential workers (e.g., medical workers, first responders, etc. as defined by the state) and providers who provided child care services to them □ those families, children and providers where the state paid another provider for the same time of service (double pay of both a closed and open provider) □ some other subset. Describe: _______________. □ My state has NOT included families, children, and providers funded with CCDF CRRSA Act funds in this report. □ CCDF ARP Act Discretionary Supplemental Funding: □ My state has included ALL families, children and providers with subsidies funded with CCDF ARP Act Discretionary Supplemental funding. □ My state has included a subset of families, children, and providers with subsidies funded by CCDF ARP Act Discretionary Supplemental funding: (check all the subsets that apply) □ those families, children and providers who were funded fully or partially based on children’s enrollment rather than attendance □ children of essential workers (e.g., medical workers, first responders, etc. as defined by the state) and providers who provided child care services to them □ some other subset. Describe:________________. □ My State has NOT included families, children, and providers funded with CCDF ARP Act Discretionary Supplemental funds in this report.

While your actual counts of families, children, and providers funded with COVID-19 supplemental CCDF funds (CARES Act, CRRSA Act, and/or ARP Act dollars) may not be available as described above, we want all states and territories to provide annual estimates to help us understand how COVID-19 supplemental CCDF funds (CARES Act, CRRSA Act, and/or ARP Act Discretionary Supplemental 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 ARP Act Stabilization Grants funds or 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.

15-1a. Number of families served whose subsidy was fully or partially funded with COVID-19 supplemental CCDF funds (CCDF CARES Act, CCDF CRRSA Act, CCDF ARP Act Discretionary Supplemental dollars).

15-1b. Number of children served whose subsidy was fully or partially funded with COVID-19 supplemental CCDF funds (CARES Act, CRRSA Act, and/or ARP Act Discretionary Supplemental dollars).

15-1c. Specify COVID-19 supplemental funds used (check all that apply): □ CCDF CARES Act □ CCDF CRRSA Act □ CCDF ARP Act Discretionary Supplemental

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

15-2b. Number of 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 CCDF CARES Act, CCDF CRRSA Act, CCDF ARP Act Discretionary Supplemental, and broader CCDF dollars).

15-2c. Specify COVID-19 supplemental funds used (check all that apply): □ CCDF CARES Act □ CCDF CRRSA Act □ CCDF ARP Act Discretionary Supplemental □ Broader CCDF

15-3. No longer collected as of FY2021.

15-4a. Number of providers that received subsidies while the provider was temporarily closed, based on enrollment rather than attendance of subsidy-eligible children (funded with CCDF CARES Act, CCDF CRRSA Act, CCDF ARP Act Discretionary Supplemental, and broader CCDF dollars).

15-4b. Specify COVID-19 supplemental funds used (check all that apply): □ CCDF CARES Act □ CCDF CRRSA Act □ CCDF ARP Act Discretionary Supplemental □ Broader CCDF

PAPERWORK REDUCTION ACT OF 1995 (Pub. L. 104-13) STATEMENT OF PUBLIC BURDEN: Through this information collection, ACF is obtaining data from Child Care and Development Fund (CCDF) State and Territory Lead Agencies on their efforts to assist families in addressing child care needs. Public reporting burden for this collection of information is estimated to average 40 hours per response, including the time for reviewing instructions, gathering and maintaining the data needed, and reviewing the collection of information. This is a mandatory collection of information that is related to and funded by the Child Care and Development Block Grant (CCDBG) Act (42 U.S.C. 9857 et seq.), and regulations at 45 CFR 98.70 and 98.71. An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information subject to the requirements of the Paperwork Reduction Act of 1995, unless it displays a currently valid OMB control number. The OMB # is 0970-0150 and the expiration date is 03/31/2025. If you have any comments on this collection of information, please contact Helen Papadopoulos, Office of Child Care, 330 C Street, SW, Washington, DC 20201.