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Program Instruction (PI-15-09)

Published by Administration for Children and Families | U.S. Department of Health & Human Services | Metadata Last Checked: September 29, 2025 | Last Modified: 2025-09-29
The purpose of this Program Instruction (PI) is to provide State, Territorial and Tribal title IV-E agencies (hereafter, "title IV-E agencies") with the revised 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 and Guardianship Assistance Programs.  This PI also provides guidance for the submission of the Annual Adoption Savings Calculation and Accounting Report for federal fiscal year (FFY) 2015 and for subsequent FFYs. ATTACHMENT B - FORM CB-496: TITLE IV-E PROGRAMS QUARTERLY FINANCIAL REPORT: PART 1: EXPENDITURES and ESTIMATES (Including Caseload Data) (This attachment cannot be posted at this time. To request a copy of the form, please email Angelique Brown at angelique.brown@acf.hhs.gov). ATTACHMENT C - INSTRUCTIONS TO COMPLETE FORM CB-496 (A new version of this attachment, updated August 1, 2016, is available for download below). ATTACHMENT D - FORM CB-496: TITLE IV-E PROGRAMS QUARTERLY FINANCIAL REPORT: PART 4: ANNUAL ADOPTION SAVINGS CALCULATION AND ACCOUNTING REPORT (This attachment cannot be posted at this time. To request a copy of the form, please email Angelique Brown at angelique.brown@acf.hhs.gov). Metadata-only record linking to the original dataset. Open original dataset below.

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