Examples

1) April (age 23) applied for herself and her three children, Abigail, Albert, and Bert. She lives with her parents, Lloyd and Loretta, and her niece Maria. The CA Needy Family Test is based on the following family:

Individual Relationship Family Member April (23) Primary Informant (PI) Yes Abigail (5) Child of PI Yes Albert (3) Child of PI Yes Bert (newborn) Child of PI Yes Lloyd (53) Parent of PI No Loretta (51) Parent of PI No Maria (17) Niece of PI No

Individual

Relationship

Family Member

April (23)

Primary Informant (PI)

Yes

Abigail (5)

Child of PI

Yes

Albert (3)

Child of PI

Yes

Bert (newborn)

Child of PI

Yes

Lloyd (53)

Parent of PI

No

Loretta (51)

Parent of PI

No

Maria (17)

Niece of PI

No

The CA budgetary unit size is 4

The family size is 4

NOTE For purposes of the CA Needy Family Test, a family is based on the caretaker relative who exercises responsibility for the dependent child.

April does not exercise responsibility for Lloyd, Loretta, and Maria and therefore they are not included in the CA needy family determination.

2) Brenda (age 33) applied for CA for her nephew, Billy, only. Brenda's spouse, Bob, is in the home, along with her daughter, Sally, and her stepdaughter, Brianna. The CA Needy Family Test is based on the following family:

Individual Relationship Family Member Brenda (33) Primary Informant (PI) Yes Billy (12) Nephew of PI Yes Bob (38) Spouse of PI Yes Sally (11) Child of PI Yes Brianna (9) Stepchild to PI Yes

Individual

Relationship

Family Member

Brenda (33)

Primary Informant (PI)

Yes

Billy (12)

Nephew of PI

Yes

Bob (38)

Spouse of PI

Yes

Sally (11)

Child of PI

Yes

Brianna (9)

Stepchild to PI

Yes

The CA budgetary unit size is 1

The family size is 5

NOTE For purposes of the CA needy family test, a family is based on the Caretaker relative who exercises responsibility for the dependent child.

Brenda exercises responsibility for her nephew and therefore her spouse and minor children are included in the CA needy family determination.

3) Carol (age 33) applied for CA for herself and her daughter, Cindy. Carol's spouse, Carlos, is in the home, along with Carlos's daughter Camilla, and Florence, Carol's mother. The CA Needy Family Test is based on the following family:

Individual Relationship Family Member Carol (33) Primary Informant (PI) Yes Carlos (38) Spouse of PI Yes Cindy (14) Child of PI Yes Camilla (11) Stepchild of PI Yes Florence (62) Parent of PI No

Individual

Relationship

Family Member

Carol (33)

Primary Informant (PI)

Yes

Carlos (38)

Spouse of PI

Yes

Cindy (14)

Child of PI

Yes

Camilla (11)

Stepchild of PI

Yes

Florence (62)

Parent of PI

No

The CA budgetary unit size is 2

The family size is 4

NOTE For purposes of the CA Needy Family Test, a family is based on the caretaker relative who exercises responsibility for the dependent child.

Carol and her spouse exercise responsibility for her daughter and her stepdaughter therefore they are all included in the CA needy family determination. Carol does not exercise responsibility for Florence. Therefore, she is not included in the needy family determination.

4) Donna (age 73) applied for CA for her two granddaughters, Danielle, and Diane, only. Danielle and Diane are the daughters of Michelle, Donna's daughter, who is not in the home. Also in the home is Mary, Donna's daughter, and Mary's two sons, Sam, and Tom. The CA Needy Family Test is based on the following family:

Individual Relationship Family Member Donna (73) Primary Informant (PI) Yes Danielle (10) Grandchild of PI Yes Diane (14) Grandchild of PI Yes Mary (29) Child of PI No Sam (8) Grandchild of PI No Tom (6) Grandchild of PI No

Individual

Relationship

Family Member

Donna (73)

Primary Informant (PI)

Yes

Danielle (10)

Grandchild of PI

Yes

Diane (14)

Grandchild of PI

Yes

Mary (29)

Child of PI

No

Sam (8)

Grandchild of PI

No

Tom (6)

Grandchild of PI

No

The CA budgetary unit size is 2

The family size is 3

NOTE For purposes of the CA Needy Family Test, a family is based on the caretaker relative who exercises responsibility for the dependent child.

Donna exercises responsibility for two granddaughters only. Therefore, they are included in the CA needy family determination. Donna does not exercise responsibility for Mary or her two children. Therefore, they are not included in the needy family determination.