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Montana Department of Public Health & Human Services July 7, 2018 Human & Community Services Page 6 of 14 Income Table for Non-TANF Child Care Scholarships Income Type Count Housing Voucher or Cash: CCDF requires states to report housing subsidy participation on the ACF- 801. The amount is not included as income for eligibility purposes. (Do not enter student housing.) NOTE: It is not necessary to verify the client’s statement regarding housing participation. NOTE: While Montana does not count housing benefits when determining eligibility, the federal ACF-801 report asks about housing participation. If the family receives housing benefits, enter one dollar ($1) in Child Care Under the Big Sky [CCUBS] as ‘Housing’ to identify the family’s participation. This will cause the ACF-801 to report this benefit in a Yes/No format, while not counting the income for eligibility purposes. Housing Voucher No ($1) HUD Family Self-Sufficiency (FSS) Program Escrow Account Interest: Excluded No Incentive Payments: Designed to encourage participation in Public Assistance Programs: Excluded No Indian (Native American) Countable Income: Countable income includes, but is not limited to the following: Bureau of Indian Affairs (BIA) income Farm and grazing lease income Interest income Mineral rights income Oil and gas royalties income Transfers of countable monies from other Indian agencies Other Income Yes Indian (Native American) Excluded Income: Exclude the following income: Income derived from sub marginal lands Interest earned on excluded funds Judgment claim income Per capita payment income, from funds held in trust distributed to enrolled members (a.k.a. BIA check) Up to $2,000 per year of income received by individual Indians which are derived from leases or other uses of individually-owned trust or restricted lands. Excluded No In-Kind Income – Earned or Obligated for Housing or Food: The value of earned, or obligated, in-kind income is the current value of the service provided. An earned, or obligated, third party vendor payment is counted as in-kind income if: In-Kind (Earned/ Obligated) Yes