Exhibit_E_-_SSBG_Post_Expenditure_Data_Report.xlsx
XLSX spreadsheet 75 KB Posted
- Attached to
- Master Agreement AZ|CTR075474
- Contract number
- CTR075474
- Issued by
- Arizona
About this file
This document is an Exhibit E Social Services Block Grant (SSBG) Post Expenditure Data Report for the state of Arizona, designed to track and report expenditures related to various social services. The report appears to be a standardized template for documenting fiscal year spending across multiple service categories, with provisions for tracking expenditures from federal, state, and local funding sources.
The report covers 29 distinct service categories ranging from Adoption Services to Transportation, with provisions for tracking expenditures for children, adults, and various age groups. While no specific dollar amounts are filled in on this template, the document allows for reporting actual, estimated, or sampled data using duplicated or unduplicated count methods. Additional notes indicate potential supplemental funding sources including transfers from other block grants, with specific mentions of a Hunger Relief Program and Domestic Violence Program. The template is structured to capture comprehensive social service spending details, including administrative costs and funds to be carried over to subsequent fiscal years.
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Provision Methods
| Part A. Expenditures and Provision Method | Part B. Recipients | ||
| EXPIRATION DATE: | |||
| STATE: Arizona | FISCAL YEAR: SFY | REPORT PERIOD: | STATE: Arizona |
| Contact Person: | Phone Number: | FISCAL YEAR: SFY | |
| Title: | E-Mail Address: | ||
| Agency: | Submission Date: |
| Service Supported with SSBG Expenditures | SSBG Expenditures | Expenditures of All Other Federal, State and Local funds** | Total Expenditures | Provision Method | Service Supported with SSBG Expenditures | Children | Adults | Total Adults | Total | Data Collection Method | Duplicated or Unduplicted | ||||||||||||
| Total SSBG Expenditures | SSBG Allocation | Carry Over from Previous FFY | Funds transferred into SSBG* | Carry Over of Funds transferred into SSBG from Previous FFY | Public | Private | Adults Age 59 Years & Younger | Adults Age 60 Years & Older | Adults of Unknown Age | Actual Data (A) | Estimated data (E) | Sampled data (S) | Duplicated Count (D) | Unduplicated Count (U) | |||||||||
| 1 | Adoption Services | 1 | Adoption Services | 0 | 0 | ||||||||||||||||||
| 2 | Case Management | 2 | Case Management | 0 | 0 | ||||||||||||||||||
| 3 | Congregate Meals | 3 | Congregate Meals | 0 | 0 | ||||||||||||||||||
| 4 | Counseling Services | 4 | Counseling Services | 0 | 0 | ||||||||||||||||||
| 5 | Day Care--Adults | 5 | Day Care--Adults | 0 | 0 | ||||||||||||||||||
| 6 | Day Care--Children | 6 | Day Care--Children | 0 | 0 | ||||||||||||||||||
| 7 | Education and Training Services | 7 | Education and Training Services | 0 | 0 | ||||||||||||||||||
| 8 | Employment Services | 8 | Employment Services | 0 | 0 | ||||||||||||||||||
| 9 | Family Planning Services | 9 | Family Planning Services | 0 | 0 | ||||||||||||||||||
| 10 | Foster Care Services--Adults | 10 | Foster Care Services--Adults | 0 | 0 | ||||||||||||||||||
| 11 | Foster Care Services--Children | 11 | Foster Care Services--Children | 0 | 0 | ||||||||||||||||||
| 12 | Health-Related Services | 12 | Health-Related Services | 0 | 0 | ||||||||||||||||||
| 13 | Home-Based Services | 13 | Home-Based Services | 0 | 0 | ||||||||||||||||||
| 14 | Home-Delivered Meals | 14 | Home-Delivered Meals | 0 | 0 | ||||||||||||||||||
| 15 | Housing Services | 15 | Housing Services | 0 | 0 | ||||||||||||||||||
| 16 | Independent/Transitional Living Services | 16 | Independent/Transitional Living Services | 0 | 0 | ||||||||||||||||||
| 17 | Information & Referral | 17 | Information & Referral | 0 | 0 | ||||||||||||||||||
| 18 | Legal Services | 18 | Legal Services | 0 | 0 | ||||||||||||||||||
| 19 | Pregnancy & Parenting | 19 | Pregnancy & Parenting | 0 | 0 | ||||||||||||||||||
| 20 | Prevention & Intervention | 20 | Prevention & Intervention | 0 | 0 | ||||||||||||||||||
| 21 | Protective Services--Adults | 21 | Protective Services--Adults | 0 | 0 | ||||||||||||||||||
| 22 | Protective Services--Children | 22 | Protective Services--Children | 0 | 0 | ||||||||||||||||||
| 23 | Recreation Services | 0 | 23 | Recreation Services | 0 | 0 | |||||||||||||||||
| 24 | Residential Treatment | 24 | Residential Treatment | 0 | 0 | ||||||||||||||||||
| 25 | Special Services--Disabled | 25 | Special Services--Disabled | 0 | 0 | ||||||||||||||||||
| 26 | Special Services--Youth at Risk | 26 | Special Services--Youth at Risk | 0 | 0 | ||||||||||||||||||
| 27 | Substance Abuse Services | 27 | Substance Abuse Services | 0 | 0 | ||||||||||||||||||
| 28 | Transportation | 28 | Transportation | 0 | 0 | ||||||||||||||||||
| 29 | Other Services*** | 29 | Other Services*** | 0 | 0 | ||||||||||||||||||
| 30 | SUM OF EXPENDITURES FOR SERVICES | 30 | SUM OF RECIPIENTS OF SERVICES | 0 | 0 | 0 | 0 | 0 | 0 | ||||||||||||||
| 31 | Administrative Costs | ||||||||||||||||||||||
| 32 | SUM OF EXPENDITURES FOR SERVICES AND ADMINISTRATIVE COSTS |
Remaining funds to be carried into next fiscal year: Amount of funds transferred into SSBG to be carried over into next fiscal year:
| * From which block grant(s) were these funds transferred? |
| ** Please list the sources of these funds: Federal and State |
| *** Please list other serivces: Hunger Relief Program-Coordination and Food Administration; Domestic Violence Program-One-time Projects |
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