ARCHIVED - First Nations Child and Family Services Annual Business Plan

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Form Instructions

DCI# 1208367 (2014-2015)

Privacy Act Statement:

The information you provide in this document is collected under the authority of the Financial Administration Act for the purpose of assessing performance, allocating funds, and in determining, if applicable, eligibility for reimbursement. Information on individuals is used by Aboriginal Affairs and Northern Development Canada's Child and Family Services Program employees who need to know the information in order to respond to your request and/or the program requirements. We do not share the personal information with other federal government departments. However, in exceptional circumstances, case specific information may be discussed with the province under whose jurisdiction the child has been taken into care. The personal information will be kept for a period of five years after which it will be sent to archives. Individuals have the right to the protection of and access to their personal information under the Privacy Act. The information collected is described under the Treasury Board Personal Information Bank INA SEP 502 which is detailed at InfoSource.

Identification

Recipient Name

Recipient Number

Mailing Address (Number/Street/Apartment/P.O. Box)

City

Province or Territory

Postal Code

Telephone Number

Facsimile Number

Email Address

Part A - Final Report

Every recipient approved for funding under the Enhanced Prevention Focused Approach or Directive 20-1 for the provision of Child and Family Services to First Nations children and families ordinarily resident on reserve shall provide the following information in relation to the previous fiscal year approved business plan. Refer to the Instructions for details on each section.

Recipients funded under the Enhanced Prevention Focused Approach

  1. Executive Summary
  2. Update to the Recipient profile
  3. Summary report of the Child and Family Enhancement and Operational Plan, including the objectives and outcomes from the applicable Framework
  4. Achievements and Challenges (Enhanced Prevention Focused Approach)

Recipients funded under Directive 20-1

  1. Executive Summary
  2. Update to the Recipient profile
  3. Achievements and Challenges (Directive 20-1)

Part B - Business Plan

Every recipient approved for funding under the Enhanced Prevention Focused Approach or Directive 20-1 for the provision of Child and Family Services to First Nations children and families ordinarily resident on reserve shall provide a business plan with the following information for the planned performance of the upcoming fiscal year. Refer to the Instructions for details on each section. The business plan will represent a five year business planning cycle which will be updated annually. Refer to the Field Definitions on each section.

For Recipients Funded Under the Enhanced Prevention Focused Approach

  1. Executive Summary
  2. Community Profile/Environment Scan
  3. Agency Profile
  4. The Child and Family Services Enhancement and Operational Plan
  5. Attachments:
    a) Service Delivery Agreements
    b) A copy of the correspondence from the relevant band council(s) authorizing the agency to provide service in the respective community/communities
    c) Letters from the reference province and the relevant bands supporting the agency's business plan (only required if the funding recipient is in the initial year of the five year
    business plan)

For Recipients Funded Under Directive 20-1

  1. Executive Summary
  2. Community Profile/Environment Scan
  3. Agency Profile
  4. The Child and Family Services Operational Plan
  5. Attachments:
    a) Service Delivery Agreements
    b) A copy of the correspondence from the relevant band council(s) authorizing the agency to provide service in the respective community/communities
    c) Letters from the reference province and the relevant bands supporting the agency's business plan

Part C - Budget Forecast

The current year budget revenues are in accordance with the funding agreement for the current year.

Recipients funded under the Enhanced Prevention Focused Approach are required to provide a budget forecast that outlines revenues and expenditures for the delivery of child and family services in relation to the business plan for the current year and projections for the following four years.

Recipients funded under Directive 20-1 are required to provide a budget forecast that outlines revenues and expenditures for the delivery of child and family services in relation to the business plan for the current year with the option to provide projections for the next four fiscal years.

2014-15
Budget
Current Year


2015-16
Budget
Forecast

2016-17
Budget
Forecast

2017-18
Budget
Forecast


2018-19
Budget
Forecast

Revenues
AANDC
Administration/Operations
Maintenance/Protection
Prevention/Least Disruptive Measures
Other Sources
Provincial Government
Children's Special Allowance
Child's Disability Benefit/Child Care
Other
Total Revenues
Expenses
Program Delivery Services
Intake, Assessment and Investigation
Child Protection Services
Prevention/Least Disruptive Measures
Supports for Permanency Services
Total Program Delivery Costs
Operations
Core Management
Financial Administration
Infrastructure Costs
Board Governance
Total Operations
Total Expenses
Net Operating Results

Attachment(s):

Indicate the name(s) of supporting document(s) being submitted and the method of submission.

Name of Supporting

Method of Submission

The information provided is accurate to the best of my knowledge.

Given Name

Family Name

Title

Date (YYYYMMDD)

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