This memo provides instructions for agencies to develop their annual reports for Title IV-E Incentive and Promoting Safe and Stable Families (PSSF) program activity in calendar year 2004. CY 2004 annual reports are due to the Department of Health and Family Services by March 31, 2005. Agencies may submit separate Title IV-E Incentive and PSSF annual reports, or a combined annual report for both programs.
The attached annual report format consists of questions specific to both the IV-E Incentive or PSSF programs. The report format is posted to the DHFS Web site (http://dhfs.wisconsin.gov/partners/local.htm) as an attachment to this memo and can be downloaded in MSWord format for use with the CY 2004 annual report.
The Title IV-E Incentive program report format includes questions regarding compliance with the statutory requirements that (1) at least 50% of the IV-E Incentive funds must be used to prevent the need for child abuse and neglect intervention services (Ref.s.46.52(2)(a), Stats.) and (2) IV-E funds should not be used to supplant other federal, state or local funds for program activities (Ref. s. 46.52(2)(b), Stats). The IV-E Incentive program report also includes a worksheet requesting the amount of unspent funds and an explanation for underspending. Counties are expected to spend their Incentive funds in the year provided, except for funds reserved for WiSACWIS implementation. If underspending results in a carryover of funds to the following year, justification must be provided. The Incentive program plan for the following year must also be modified to specify how the carryover funds will be used.
The PSSF program report format includes questions regarding actual expenditures in each of the required PSSF program spending categories as compared to the original planned amount for CY 2004. Information about the total number of children and families served is also requested. In addition, a "PSSF 2004 Program Information" form needs to be submitted for each program funded with PSSF monies.
Send DCFS copy to:
Send the OSF copy to the Area Administrator in your region.
CY 2004 annual report format (PDF 17 kb)
CY 2004 annual report format (WORD 38 kb)