DEPARTMENT OF HEALTH AND HUMAN SERVICES OMB Approval No.: 0970-0004
Administration for Children and Families Expires: 11/30/2008
Form ACF-4125 DESTROY PRIOR EDITIONS
ANNUAL STATISTICAL REPORT ON
CHILDREN IN FOSTER HOMES AND CHILDREN IN FAMILIES RECEIVING PAYMENTS
IN EXCESS OF THE POVERTY INCOME LEVEL
FROM A STATE PROGRAM FUNDED UNDER PART A OF
TITLE IV OF THE SOCIAL SECURITY ACT
State: UTAH State Agency ___________________________
Report for the month of October 2008
Prepared by:
Name __________________________________________________
Title ___________________________________________________
Signature_______________________________________________
Compiled by:
Name __________________________________________________
Phone # ________________________________________________
Email address____________________________________________
Part I.
NUMBER OF CHILDREN AGED 5-17 IN FOSTER HOMES
State total _______________
(if entry is greater than zero (0), attach a separate list in the following format.)
Children Aged 5-17 in Foster Homes
A. by COUNTY B. by LOCAL EDUCATIONAL AGENCY (LEA)
County name FIPS County Code Number LEA name LEA Code (Agency ID) Number
Part II .
NUMBER OF CHILDREN AGED 5-17 IN FAMILIES RECEIVING PAYMENTS IN EXCESS OF
THE AMOUNT SPECIFIED FOR THIS REPORT PERIOD FROM A STATE PROGRAM FUNDED UNDER
PART A OF TITLE IV OF THE SOCIAL SECURITY ACT
State total _______________
(if entry is greater than zero (0), attach a separate list in the following format.)
Children Aged 5-17 in FAMILIES RECEIVING PAYMENTS IN EXCESS OF $1,766.67
A. by COUNTY B. by LOCAL EDUCATIONAL AGENCY (LEA)
County name FIPS County Code Number LEA name LEA Code Number
2
Number of children ages 5 - 17, inclusive in foster homes and in families above poverty receiving assistance under TANF
NAME OF STATE: UTAH
October 2008 October 2007 October 2008 October 2007
Number of Number of Number of Children Ages 5-17 Number of Children Ages 5-17
State Name of Children Ages 5-17 Children Ages 5-17 in Families Above Poverty in Families Above Poverty
State Code LEA Code Local Educational Agency (LEA) In Foster Homes In Foster Homes Receiving Payments Under TANF Receiving Payments Under TANF
UT 49 4900030 ALPINE SCHOOL DISTRICT 173 0
UT 49 4900060 BEAVER SCHOOL DISTRICT 1 0
UT 49 4900090 BOX ELDER SCHOOL DISTRICT 37 0
UT 49 4900120 CACHE SCHOOL DISTRICT 42 0
UT 49 4900150 CARBON SCHOOL DISTRICT 36 0
UT 49 4900180 DAGGETT SCHOOL DISTRICT 0 0
UT 49 4900210 DAVIS SCHOOL DISTRICT 113 0
UT 49 4900240 DUCHESNE SCHOOL DISTRICT 43 0
UT 49 4900270 EMERY SCHOOL DISTRICT 12 0
UT 49 4900300 GARFIELD SCHOOL DISTRICT 1 0
UT 49 4900330 GRAND SCHOOL DISTRICT 9 0
UT 49 4900360 GRANITE SCHOOL DISTRICT 313 0
UT 49 4900390 IRON SCHOOL DISTRICT 59 0
UT 49 4900420 JORDAN SCHOOL DISTRICT 227 0
UT 49 4900450 JUAB SCHOOL DISTRICT 2 0
UT 49 4900480 KANE SCHOOL DISTRICT 3 0
UT 49 4900510 LOGAN SCHOOL DISTRICT 9 0
UT 49 4900540 MILLARD SCHOOL DISTRICT 7 0
UT 49 4900570 MORGAN SCHOOL DISTRICT 1 0
UT 49 4900600 MURRAY SCHOOL DISTRICT 10 0
UT 49 4900630 NEBO SCHOOL DISTRICT 100 0
UT 49 4900660 NORTH SANPETE SCHOOL DISTRICT 18 0
UT 49 4900690 NORTH SUMMIT SCHOOL DISTRICT 1 0
UT 49 4900720 OGDEN SCHOOL DISTRICT 67 0
UT 49 4900750 PARK CITY SCHOOL DISTRICT 0 0
UT 49 4900780 PIUTE SCHOOL DISTRICT 13 0
UT 49 4900810 PROVO SCHOOL DISTRICT 100 0
UT 49 4900840 RICH SCHOOL DISTRICT 0 0
UT 49 4900870 SALT LAKE CITY SCHOOL DISTRICT 83 0
UT 49 4900900 SAN JUAN SCHOOL DISTRICT 6 0
UT 49 4900930 SEVIER SCHOOL DISTRICT 11 0
UT 49 4900960 SOUTH SANPETE SCHOOL DISTRICT 17 0
UT 49 4900990 SOUTH SUMMIT SCHOOL DISTRICT 1 0
UT 49 4901020 TINTIC SCHOOL DISTRICT 0 0
UT 49 4901050 TOOELE SCHOOL DISTRICT 19 0
UT 49 4901080 UINTAH SCHOOL DISTRICT 45 0
UT 49 4901110 WASATCH SCHOOL DISTRICT 4 0
UT 49 4901140 WASHINGTON SCHOOL DISTRICT 84 0
3
Number of children ages 5 - 17, inclusive in foster homes and in families above poverty receiving assistance under TANF
NAME OF STATE: UTAH
October 2008 October 2007 October 2008 October 2007
Number of Number of Number of Children Ages 5-17 Number of Children Ages 5-17
State Name of Children Ages 5-17 Children Ages 5-17 in Families Above Poverty in Families Above Poverty
State Code LEA Code Local Educational Agency (LEA) In Foster Homes In Foster Homes Receiving Payments Under TANF Receiving Payments Under TANF
UT 49 4901170 WAYNE SCHOOL DISTRICT 6 0
UT 49 4901200 WEBER SCHOOL DISTRICT 120 0
UT 49 4999998 Undistributed 0 0
UT 49 4999999 PART D SUBPART 2 0 0
TOTAL FOR STATE 0 1,793 0 0
Number of children ages 5 - 17, inclusive in foster homes and in families above poverty receiving assistance under TANF
NAME OF STATE: UTAH
October 2008 October 2008
Number of Number of Children Ages 5-17
State County Name of Children Ages 5-17 in Families Above Poverty
State Code Code County In Foster Homes Receiving Payments Under TANF
UT 49 49001 BEAVER
UT 49 49003 BOX ELDER
UT 49 49005 CACHE
UT 49 49007 CARBON
UT 49 49009 DAGGETT
UT 49 49011 DAVIS
UT 49 49013 DUCHESNE
UT 49 49015 EMERY
UT 49 49017 GARFIELD
UT 49 49019 GRAND
UT 49 49021 IRON
UT 49 49023 JUAB
UT 49 49025 KANE
UT 49 49027 MILLARD
UT 49 49029 MORGAN
UT 49 49031 PIUTE
UT 49 49033 RICH
UT 49 49035 SALT LAKE
UT 49 49037 SAN JUAN
UT 49 49039 SANPETE
UT 49 49041 SEVIER
UT 49 49043 SUMMIT
UT 49 49045 TOOELE
UT 49 49047 UINTAH
UT 49 49049 UTAH
UT 49 49051 WASATCH
UT 49 49053 WASHINGTON
UT 49 49055 WAYNE
UT 49 49057 WEBER
TOTAL FOR STATE