Exhibit_F_-_SSBG_Post_Expenditure_Data_Report.xlsx
XLSX spreadsheet 75 KB Posted
- Attached to
- Master Agreement AZ|CTR075550
- Contract number
- CTR075550
- Issued by
- Arizona
About this file
This document is an Exhibit F SSBG (Social Services Block Grant) Post Expenditure Data Report for the state of Arizona, designed to track and report social service expenditures across multiple service categories. The report appears to be a standardized fiscal tracking template for documenting service provisions, recipient counts, and funding allocations for various social service programs.
The report covers 28 distinct service categories ranging from Adoption Services to Transportation, with a comprehensive breakdown of expenditures for adults, children, and various demographic segments. While no specific contract pricing is detailed, the document indicates potential funding sources including federal, state, and local funds, with provisions for transferring and carrying over funds between fiscal years. Notable additional services mentioned include a Hunger Relief Program and Domestic Violence Program one-time projects. The report provides a mechanism for tracking unduplicated and duplicated service recipient counts, expenditure types (actual, estimated, sampled), and administrative costs associated with social service program delivery.
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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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