Annual State Application under Part C of the Individuals with Disabilities Education Act as Amended in 2004
Federal Fiscal Year 2009

United States Department of Education
Office of Special Education Programs
Washington, DC 20202-2600

Early Intervention's Main Page

Print Version of FFY 09 Grant Application (pdf)

OMB No. 1820-0550
Expires: 12/31/2009

CFDA No. 84.181a
ED Form No. 1 B20--26p

Section III (Continued)

G. Activities by Other Agencies

If other State or local public agencies are to receive a portion of the Federal funds under Part C, the Application must include:

  • The name of each public agency expected to receive funds;
  • The approximate amount of funds each public agency will receive; and
  • A summary of the purposes for which the funds will be used.

Provide subtotal of amount. (Add columns and rows as needed.)

Agency Receiving Funds Amount of Funds Purpose
Subtotal of amount under G: