Family Development and Self-Sufficiency Program
Basic Information for Grantees

Table of Contents

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Legal Basis
Iowa Code
Administrative Rules
Appropriations Bill

3.1
3.2
3.3
3.4
3.5
3.6
3.7
3.9
3.10
3.11
3.12
3.13
3.14
3.15
3.16
3.17

FaDSS Forms and Instruction

Data Collection Forms
Web Based Profile Handbook
4.2 Web Profile
4.36 Self Sufficiency Matrix (other version available)
4.37 Difficulty of Service Scale (other versions available)
4.38 Data Collection Handbook
4.39 Matrix and DOS Q and A

Annual Report
4.5 Activity Report
4.6 Activity Report Instructions
4.29 FaDSS Annual Report
4.29A Snapshot
4.29A Snapshot Instructions
4.29B Community Partnerships
4.29C Community Partnerships - Example
4.30 Annual In-Kind Report*

Onsite Review Forms and Information
4.12 FaDSS Site Visit Overview
4.13 Site Visit Checklist
4.14 Specialists Self Assessment
4.15 Survey Tool for FaDSS Families
4.16 Survey Tool for FaDSS Partners
4.17 Program Management Self Assessment
4.18 FaDSS File Review Sheet
4.19 FaDSS Home Visit Observation
4.28 Personnel File Review Form
4.40 Supervisory-Personnel-Administrative Review Form
4.41 Onsite Reviewers Guide

Amendments and Fiscal Reports
4.20 Monthly Expense Report*
4.24 Work Plan Amendment*
4.25 Work Plan Amendment Instructions *
4.26 Budget Amendment *
4.27 Budget Amendment Instructions *

Other Forms and Instructions
4.7 Monthly Report to Promise Jobs
4.8 Monthly Report to PJ Instructions
4.9 FaDSS Universal Referral Form
4.10 FaDSS Universal Referral Form Instructions
4.11 FaDSS Code of Ethics
4.31 FaDSS Information Outline (Hardship)
4.32 Instructions for completing Hardship Outline
4.33 LBP Tracking form
4.34 Staff Profile
4.35 Family Rights Statement