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Attachment A 477 Child Count Declaration CHILD COUNT DECLARATION (P.L. 102477 Tribe) Federal Fiscal Year: 2016 Name of Tribe: This certifies that the number of Indian children under age 13 (as defined
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How to fill out 102-477 child count declaration:

01
Check the instructions: Before starting, make sure to carefully read and understand the instructions provided with the 102-477 child count declaration form. This will help you gather the necessary information and fill out the form accurately.
02
Provide agency information: Begin by filling out the agency information section of the form. This includes details such as the agency name, address, contact person, and phone number. Double-check that all the information is correct and up to date.
03
Enter the reporting period: Indicate the reporting period for the child count declaration. This is usually a specific date range during which the count is conducted. Enter the start and end dates accurately to avoid any discrepancies.
04
Record the number of children: In the child count section of the form, record the total number of children served by the agency during the reporting period. This includes children of all age groups and program types covered under the 102-477 program.
05
Provide demographic information: The form may require you to provide additional demographic information about the children served. This may include data such as age groups, gender, race, ethnicity, and tribal affiliation. Follow the instructions and fill out this section accurately.
06
Sign and date the form: Once you have completed all the required sections of the form, remember to sign and date it. This confirms that the information provided is accurate and that you are authorized to submit the declaration on behalf of the agency.

Who needs 102-477 child count declaration?

01
Tribal agencies: The 102-477 child count declaration is required for tribal agencies that participate in the 102-477 program. This program aims to consolidate and coordinate various federal funding sources to improve services for Native Americans.
02
Agencies serving Native American children: Any agency that provides services to Native American children, including education, job training, social services, or child care, may need to submit the 102-477 child count declaration. This allows the government to track the number of children served and allocate resources accordingly.
03
Compliance monitors and auditors: Compliance monitors, auditors, or other officials responsible for ensuring the proper implementation of the 102-477 program may also need the child count declaration. It serves as a crucial document to assess program effectiveness and compliance with federal regulations.
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102-477 child count declaration is a form used by tribal grantees to report the number of children served by certain programs funded under the 477 program.
Tribal grantees receiving funding under the 477 program are required to file the 102-477 child count declaration.
The 102-477 child count declaration form can be filled out electronically or submitted via mail following the instructions provided by the granting agency.
The purpose of the 102-477 child count declaration is to accurately report the number of children served by the programs funded under the 477 program.
The 102-477 child count declaration requires information on the number of children served, demographics, program types, and funding sources.
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