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: NEVADA 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: NEVADA
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 County Children Ages 5-17 Children Ages 5-17 in Families Above Poverty in Families Above Poverty
State Code LEA Code Local Educational Agency (LEA) Code County In Foster Homes In Foster Homes Receiving Payments Under TANF Receiving Payments Under TANF
NV 32 3200030 CHURCHILL COUNTY SCHOOL DISTRICT 32001 CHURCHILL 67 0
NV 32 3200060 CLARK COUNTY SCHOOL DISTRICT 32003 CLARK 2,348 39
NV 32 3200090 DOUGLAS COUNTY SCHOOL DISTRICT 32005 DOUGLAS 0 0
NV 32 3200120 ELKO COUNTY SCHOOL DISTRICT 32007 ELKO 44 0
NV 32 3200150 ESMERALDA COUNTY SCHOOL DISTRICT 32009 ESMERALDA 0 0
NV 32 3200180 EUREKA COUNTY SCHOOL DISTRICT 32011 EUREKA 0 0
NV 32 3200210 HUMBOLDT COUNTY SCHOOL DISTRICT 32013 HUMBOLDT 21 0
NV 32 3200240 LANDER COUNTY SCHOOL DISTRICT 32015 LANDER 0 0
NV 32 3200270 LINCOLN COUNTY SCHOOL DISTRICT 32017 LINCOLN 13 0
NV 32 3200300 LYON COUNTY SCHOOL DISTRICT 32019 LYON 12 4
NV 32 3200330 MINERAL COUNTY SCHOOL DISTRICT 32021 MINERAL 0 0
NV 32 3200360 NYE COUNTY SCHOOL DISTRICT 32023 NYE 80 5
NV 32 3200390 CARSON CITY SCHOOL DISTRICT 32510 CARSON CITY 68 6
NV 32 3200420 PERSHING COUNTY SCHOOL DISTRICT 32027 PERSHING 0 0
NV 32 3200450 STOREY COUNTY SCHOOL DISTRICT 32029 STOREY 0 0
NV 32 3200480 WASHOE COUNTY SCHOOL DISTRICT 32031 WASHOE 642 22
NV 32 3200510 WHITE PINE COUNTY SCHOOL DISTRICT 32033 WHITE PINE 23 0
NV 32 3299998 Undistributed 0 0
NV 32 3299999 PART D SUBPART 2 0 0
TOTAL FOR STATE 0 3,318 0 76
Number of children ages 5 - 17, inclusive in foster homes and in families above poverty receiving assistance under TANF
NAME OF STATE: NEVADA
October 2008 October 2008
Number of Number of Children Ages 5-17
County Name of Children Ages 5-17 in Families Above Poverty
State Code Code County In Foster Homes Receiving Payments Under TANF
NV 32001 CHURCHILL
NV 32003 CLARK
NV 32005 DOUGLAS
NV 32007 ELKO
NV 32009 ESMERALDA
NV 32011 EUREKA
NV 32013 HUMBOLDT
NV 32015 LANDER
NV 32017 LINCOLN
NV 32019 LYON
NV 32021 MINERAL
NV 32023 NYE
NV 32027 PERSHING
NV 32029 STOREY
NV 32031 WASHOE
NV 32033 WHITE PINE
NV 32510 CARSON CITY
TOTAL FOR STATE