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Renewed Form for Title IV-E Programs Quarterly Financial Report

Published by Administration for Children and Families | U.S. Department of Health & Human Services | Metadata Last Checked: September 06, 2025 | Last Modified: 2025-09-06
This Program Instruction (PI) provides State, Territorial, and Tribal title IV-E agencies with the renewed form and instructions approved by the U.S. Office of Management and Budget (OMB) for reporting quarterly financial information on the title IV-E Foster Care, Adoption Assistance, Guardianship Assistance, Kinship Navigator and Prevention Services Programs, as well as annual reporting data for Adoption Savings. An updated version of the CB-496 form was released with ACF-ACYF-CB-PI-24-09. Metadata-only record linking to the original dataset. Open original dataset below.

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