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 Office of Management and Budget (OMB) for reporting quarterly financial information on the title IV-E Foster Care, Adoption Assistance and Guardianship Assistance Programs.  A new title IV-E quarterly financial reporting form, designated as Form CB-496. “Title IV-E Programs Quarterly Financial Report,” has been approved by OMB for use for a three year period and will become effective with claiming periods in FY 2011. Form CB-496 replaces Form ACF-IV-E-1, is applicable to all title IV-E agencies and follows the general format of the prior reporting form. It also collects additional information needed to administer the programs covered and provides more comprehensive instructions for form completion.

Author: U.S. Department of Health and Human Services
Date: 2010