| On November 28, 2000, The Food and Drug Administration (FDA) and The National Treasury Employees Union (NTEU) developed, through the Agency's Labor Management Cooperation Council, a pilot child care assistance pilot program. In 2001, Congress passed legislation that allowed agencies to continue to provide subsidies for child care with appropriated funds and the Agency's Cooperation Council committed to offering the program on a permanent basis.   The FDA has a Child Care Subsidy Program for all FDA civilian employees nationwide. Under the authority of Public law 107-67, this program is available through September 30, 2013. (The program will be extended annually - barring any budget complications.) As an FDA civilian employee, you are eligible to apply for assistance at any time during the program period if you meet the requirements.     It is highly recommended that you print the following instructions for future reference.   
 Eligibility 
Your adjusted gross family income is $75,000 or less (IRS form 1040, Line 37)Your child is age 13 or under (or 18 and under if physically or mentally unable to care for him/herself).Your child is enrolled or has been approved for enrollment in a licensed child care center or under the care of a licensed child care provider.The employee has achieved a recent performance rating of "Meets Performance Measures." 
 Definition of a Child   As provided in the regulations that implement Public Law 107-67, for the purposes of this program, a child is considered to be:   
A biological child who lives with the Federal employee;An adopted child;A stepchild;A foster child;A child for whom a judicial determination of support has been obtained; orA child to whose support the Federal employee who is a parent or legal guardian makes regular and substantial contributions. 
 Application Process The following information and forms must be submitted when applying for the subsidy program: 
Application Form - HHS-698OPM-1644, Child Care Provider Form - Please note: Your provider does not need to fill out section IV Provider’s Financial Institution.SF-50 must be submittedPay statements for the two most recent pay periods for each parent or guardianMost recent signed[1]IRS Tax filing forms for each parent or guardianW-2’s for each parent or guardianCopy of child care provider’s license or letter of compliance with state or local child care agency.Birth Certificate for each childIRS W-9 to Verify Tax ID of Child Care ProviderRate Sheet from Child Care Provider   Application forms may be obtained by requesting them from Rebecca.donnelly@psc.hhs.gov until a new webpage has been developed.   
 Submission of Application               Please send your completed application to:               Rebecca M. Donnelly, PSCChild Care Coordinator by:   - Fax – 1-240-465-0217 - email–Rebecca.donnelly@psc.hhs.gov   
 Subsidy Allocations The child care subsidy for all eligible employees will be a weekly amount according to the following schedule: 
| Total Family Income | Percentage of Child Care Paid |  
| $60,001 - $75,000 | 20% |  
| $50,001 - $60,000 | 25% |  
| $40,001 - $50,000 | 35% |  
| $30,001 - $40,000 | 45% |  
| $30,000 or less | 50% |    The child care subsidy will be reduced by the amount the participant receives in State, county or local child care subsidies.   
 Subsidy Approval   All new applications and annual enrollment, re-certifications must be reviewed by the FDA, PSC Child Care Coordinator, Rebecca M. Donnelly,for processing and subsidy approval.    
 Instructions for submitting subsidy invoices Once your application is approved, you will be able to receive the subsidy from the date that you applied.  Please follow this link: www.1stfinancialassociates.comto obtain specific information for submitting child care invoices. 
First Financial Associates, Inc.(FFA)is the company who processes payments.  They have seven days from the date they receive your invoices to send the checks to your provider. Please email your invoices to: First Financial Associates, Inc. pscccsp@1stfinancialassociates.com 
Stacey Royal is the point of contact for First Financial Associates, Inc.You may call Stacey Royal at either: (770) 484-9200 1-800-453-8151 Toll Free 
Download the invoices for the OPDIV you are employed by. At the end of each month after services have been rendered, your provider will fill out the formBoth you and your provider sign the form and send it to FFA.  They will process the invoice and send the check directly to your provider. Payments are made monthly and it’s important to get them to FFA as soon as possible.The amounts claimed need to be in weekly amounts, not monthly amounts.Each month’s child care ends on the last Friday of the month you are claiming.Please make sure you use the correct OPDIVform as it could hold up payments.The invoice needs to be emailed to FFA.Invoices that are not received within 10 business days of the deadline must be approved by the PSC Child Care Coordinator.   
Annual Recertification Continued participation in the Employee Child Care Subsidy Program requires an annual recertification by April 30th each year.  The following information must be submitted to the PSC Child Care Coordinator.  It will then be reviewed, approved and forwarded to First Financial Associates, Inc.: 
SF 50 must be submittedPay statements for the two most recent pay periods for each parent or guardianMost recent signed[2]IRS Tax filing forms for each parent or guardianW-2’s for each parent or guardianHHS-698 – Application Form- please include enrollment date at all timesOPM-1644, Child Care Provider Form - Please note: Your provider does not need to fill out section IV Provider’s Financial InstitutionCopy of child care provider’s license or letter of compliance with state or local child care agencyBirth Certificate for each childIRS W-9 to verify Tax ID NumberRate Sheet from Child Care Provider     
Changes in Enrollment   
When you sign the HHS-698, you agree to inform the PSC Child Care Coordinator and First Financial Associates, Inc. of any changes to your information listed on the applications.   
Please contact us if your provider has moved and provide the PSC Child Care Coordinator with a copy of the provider’s new license.   
OPM-1644, Child Care Provider Form - Please note: Your provider does not need to fill out section IV Provider’s Financial Institution   IRS W-9 to Verity Tax ID Number.   Rate Sheet from Child Care Provider     
 Changing Providers               When you change providers, please submit the following to the PSC Child Care Coordinator: : 
a new OPM 1644 before you start carea new HHS-698copy of the new provider’s licenseIRS W-9 to Verify Tax ID NumberRate Sheet from Child Care Provider   
 Summer Camp   The subsidy may be used for summer camp as long as the camp falls into the following categories:   
a licensed facilitya letter of compliancea certificate to operate as a summer campIRS W-9 to Verify Tax ID NumberRate Sheet from Child Care Provider   For enrollment guidance and further information on the FDA Child Care Subsidy Program, please contact:               Rebecca M. Donnelly, PSC Child Care Coordinator             Rebecca.Donnelly@psc.hhs.gov             301-492-4080 (office)1-240-465-0217(fax)     [1] Manually signed or proof of an electronic signature if e-filed. [2] Manually signed or proof of an electronic signature if e-filed. On November 28, 2000, The Food and Drug Administration (FDA) and The National Treasury Employees Union (NTEU) developed, through the Agency's Labor Management Cooperation Council, a pilot child care assistance pilot program. In 2001, Congress passed legislation that allowed agencies to continue to provide subsidies for child care with appropriated funds and the Agency's Cooperation Council committed to offering the program on a permanent basis.   The FDA has a Child Care Subsidy Program for all FDA civilian employees nationwide. Under the authority of Public law 107-67, this program is available through September 30, 2013. (The program will be extended annually - barring any budget complications.) As an FDA civilian employee, you are eligible to apply for assistance at any time during the program period if you meet the requirements.     It is highly recommended that you print the following instructions for future reference.   
 Eligibility 
Your adjusted gross family income is $75,000 or less (IRS form 1040, Line 37)Your child is age 13 or under (or 18 and under if physically or mentally unable to care for him/herself).Your child is enrolled or has been approved for enrollment in a licensed child care center or under the care of a licensed child care provider.The employee has achieved a recent performance rating of "Meets Performance Measures." 
 Definition of a Child   As provided in the regulations that implement Public Law 107-67, for the purposes of this program, a child is considered to be:   
A biological child who lives with the Federal employee;An adopted child;A stepchild;A foster child;A child for whom a judicial determination of support has been obtained; orA child to whose support the Federal employee who is a parent or legal guardian makes regular and substantial contributions. 
 Application Process The following information and forms must be submitted when applying for the subsidy program: 
Application Form - HHS-698OPM-1644, Child Care Provider Form - Please note: Your provider does not need to fill out section IV Provider’s Financial Institution.SF-50 must be submittedPay statements for the two most recent pay periods for each parent or guardianMost recent signed[1]IRS Tax filing forms for each parent or guardianW-2’s for each parent or guardianCopy of child care provider’s license or letter of compliance with state or local child care agency.Birth Certificate for each childIRS W-9 to Verify Tax ID of Child Care ProviderRate Sheet from Child Care Provider   Application forms may be obtained by requesting them from Rebecca.donnelly@psc.hhs.gov until a new webpage has been developed.   
 Submission of Application               Please send your completed application to:               Rebecca M. Donnelly, PSCChild Care Coordinator by:   - Fax – 1-240-465-0217 - email–Rebecca.donnelly@psc.hhs.gov   
 Subsidy Allocations The child care subsidy for all eligible employees will be a weekly amount according to the following schedule: 
| Total Family Income | Percentage of Child Care Paid |  
| $60,001 - $75,000 | 20% |  
| $50,001 - $60,000 | 25% |  
| $40,001 - $50,000 | 35% |  
| $30,001 - $40,000 | 45% |  
| $30,000 or less | 50% |    The child care subsidy will be reduced by the amount the participant receives in State, county or local child care subsidies.   
 Subsidy Approval   All new applications and annual enrollment, re-certifications must be reviewed by the FDA, PSC Child Care Coordinator, Rebecca M. Donnelly,for processing and subsidy approval.    
 Instructions for submitting subsidy invoices Once your application is approved, you will be able to receive the subsidy from the date that you applied.  Please follow this link: www.1stfinancialassociates.comto obtain specific information for submitting child care invoices. 
First Financial Associates, Inc.(FFA)is the company who processes payments.  They have seven days from the date they receive your invoices to send the checks to your provider. Please email your invoices to: First Financial Associates, Inc. pscccsp@1stfinancialassociates.com 
Stacey Royal is the point of contact for First Financial Associates, Inc.You may call Stacey Royal at either: (770) 484-9200 1-800-453-8151 Toll Free 
Download the invoices for the OPDIV you are employed by. At the end of each month after services have been rendered, your provider will fill out the formBoth you and your provider sign the form and send it to FFA.  They will process the invoice and send the check directly to your provider. Payments are made monthly and it’s important to get them to FFA as soon as possible.The amounts claimed need to be in weekly amounts, not monthly amounts.Each month’s child care ends on the last Friday of the month you are claiming.Please make sure you use the correct OPDIVform as it could hold up payments.The invoice needs to be emailed to FFA.Invoices that are not received within 10 business days of the deadline must be approved by the PSC Child Care Coordinator.   
Annual Recertification Continued participation in the Employee Child Care Subsidy Program requires an annual recertification by April 30th each year.  The following information must be submitted to the PSC Child Care Coordinator.  It will then be reviewed, approved and forwarded to First Financial Associates, Inc.: 
SF 50 must be submittedPay statements for the two most recent pay periods for each parent or guardianMost recent signed[2]IRS Tax filing forms for each parent or guardianW-2’s for each parent or guardianHHS-698 – Application Form- please include enrollment date at all timesOPM-1644, Child Care Provider Form - Please note: Your provider does not need to fill out section IV Provider’s Financial InstitutionCopy of child care provider’s license or letter of compliance with state or local child care agencyBirth Certificate for each childIRS W-9 to verify Tax ID NumberRate Sheet from Child Care Provider     
Changes in Enrollment   
When you sign the HHS-698, you agree to inform the PSC Child Care Coordinator and First Financial Associates, Inc. of any changes to your information listed on the applications.   
Please contact us if your provider has moved and provide the PSC Child Care Coordinator with a copy of the provider’s new license.   
OPM-1644, Child Care Provider Form - Please note: Your provider does not need to fill out section IV Provider’s Financial Institution   IRS W-9 to Verity Tax ID Number.   Rate Sheet from Child Care Provider     
 Changing Providers               When you change providers, please submit the following to the PSC Child Care Coordinator: : 
a new OPM 1644 before you start carea new HHS-698copy of the new provider’s licenseIRS W-9 to Verify Tax ID NumberRate Sheet from Child Care Provider   
 Summer Camp   The subsidy may be used for summer camp as long as the camp falls into the following categories:   
a licensed facilitya letter of compliancea certificate to operate as a summer campIRS W-9 to Verify Tax ID NumberRate Sheet from Child Care Provider   For enrollment guidance and further information on the FDA Child Care Subsidy Program, please contact:               Rebecca M. Donnelly, PSC Child Care Coordinator             Rebecca.Donnelly@psc.hhs.gov             301-492-4080 (office)1-240-465-0217(fax)     |