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ANNUAL REPORT OF SERVICES FUNDED BY THE SOCIAL SERVICES BLOCK GRANT (SSBG) FOR FISCAL YEAR:____________ |
Contact: Title: Date: |
State: Report Covers Period: |
Service |
Number of |
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Expenditures |
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Provision |
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Adults |
C |
Children |
C |
Total |
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Total $ |
C |
SSBG $ |
C |
SSBG $ Per Adult |
SSBG $ Per Child |
C |
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Public |
Private |
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1 |
Adoption |
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2 |
Case |
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3 |
Congregate |
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4 |
Counseling |
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5 |
Day Care- |
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6 |
Day Care- |
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7 |
Educ/Training |
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8 |
Employment |
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9 |
Family Planning |
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10 |
Foster Care |
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11 |
Foster Care |
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12 |
Health Related |
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13 |
Home Based |
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14 |
Home Delivered |
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15 |
Housing |
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16 |
Indep/Trans |
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17 |
Information |
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18 |
Legal |
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19 |
Pregnancy |
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20 |
Prevention |
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21 |
Protective |
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22 |
Protective |
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23 |
Recreation |
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24 |
Residential |
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25 |
Spec Srvcs- |
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26 |
Special Srvcs- |
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27 |
Substance Abuse |
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28 |
Transportation |
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29 |
Other |
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30 |
Other |
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a. Transfers In |
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b. Transfer Out |
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c. Carry Forward |
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d. Carry Over |
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e. Administrative |
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TOTAL |
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RETURN TO SSBG HOME | RETURN TO OCS HOME