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This document is a quarterly report required by Section 658K of the Child Care and Development Block Grant Act, which mandates states and territories to submit case-level data on children and families
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How to fill out child care quarterly case

How to fill out Child Care Quarterly Case Record Report—ACF–801
01
Obtain the Child Care Quarterly Case Record Report—ACF–801 form from the relevant state or local agency.
02
Review the instructions provided with the form to understand the required information.
03
Fill out the 'Case Information' section, including details such as the child's name, date of birth, and case number.
04
Complete the 'Provider Information' section with the name and contact details of the child care provider.
05
Fill in the 'Eligibility Information' section to confirm the child’s eligibility for child care assistance.
06
Document the hours of care provided and any co-payments made in the 'Care Information' section.
07
Review the 'Certification Information' section for any required signatures from the parent and provider.
08
Double-check all sections for accuracy and completeness before submitting the report.
09
Submit the report to the appropriate agency by the deadline established in the guidelines.
Who needs Child Care Quarterly Case Record Report—ACF–801?
01
The Child Care Quarterly Case Record Report—ACF–801 is needed by child care providers, parents or guardians applying for child care assistance, and state or local agencies managing child care assistance programs.
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What is Child Care Quarterly Case Record Report—ACF–801?
The Child Care Quarterly Case Record Report—ACF–801 is a reporting tool used by states to provide information on child care services, including data on children, families, and providers receiving assistance through child care programs.
Who is required to file Child Care Quarterly Case Record Report—ACF–801?
States that administer the Child Care and Development Fund (CCDF) program are required to file the Child Care Quarterly Case Record Report—ACF–801.
How to fill out Child Care Quarterly Case Record Report—ACF–801?
To fill out the ACF–801, states must collect and compile data regarding child care services, including case information, demographic data, and financial details, and enter this data into the designated reporting format provided by ACF.
What is the purpose of Child Care Quarterly Case Record Report—ACF–801?
The purpose of the ACF–801 is to assess the effectiveness of child care services, track funding utilization, ensure compliance with federal regulations, and facilitate data-driven decision-making for child care programs.
What information must be reported on Child Care Quarterly Case Record Report—ACF–801?
The ACF–801 requires the reporting of information including the number of families served, types of services provided, demographics of children and families, case management details, and funding sources utilized.
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