DD Form 2646 Department of Defense School-Age Care (Sac) Program - Annual Summary of Operations

DD Form 2646 or the "School-age Care (sac) Program Annual Summary Of Operations" is a Department of Defense-issued form used by and within the United States Army.

The form - often mistakenly referred to as the DA form 2646 - was last revised on December 1, 2002. Download an up-to-date fillable PDF version of the DD 2646 down below or find it on the Department of Defense documentation website.

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REPORT CONTROL SYMBOL
DEPARTMENT OF DEFENSE SCHOOL-AGE CARE (SAC) PROGRAM
DD-P&R(A)1954
ANNUAL SUMMARY OF OPERATIONS
INSTRUCTIONS
Complete the following information for your Service. If the information is available for Reserve and other school-age programs under your
Service's jurisdiction, complete a separate form. Date of record for specific entries noted by an asterisk (*) is the last Wednesday in
September of each fiscal year except specialty/summer camps and the last Wednesday in July of each fiscal year will be used for that
category.
1. BRANCH OF SERVICE/DEFENSE AGENCY
2. TIME PERIOD COVERED
3. TOTAL INSTALLATIONS PROVIDING
(YYYY1001 - YYYY0930)
SCHOOL-AGE CARE*
4. TOTAL NUMBER OF FACILITIES DESIGNATED AS SCHOOL-AGE PROGRAMS*
5. OPERATIONAL CAPACITY IN ALL
FACILITIES AND FOR EXCLUSIVE SAC IN-
HOME CARE*
a. Which of the following types of facilities do you use to provide services to
school-age children? (X all that apply)
a. During School Year
(1) Off-installation schools
(5) Youth Centers
b. During Summer Camps
(2) On-installation schools (DoDEA)
(6) Other on-base facilities
c. During School Holiday Camps
(3) On-installation schools (Other)
(7) Designated in-home care exclusive for SAC
d. During Specialty Camps
(4) Child Development Centers
(8) Other (Specify)
7. PAID ENROLLMENT ON DATE OF RECORD*
6. NUMBER OF CHILDREN ENROLLED IN SCHOOL-
AGE PROGRAMS DURING LAST FISCAL YEAR
CHILDREN OF
a. Before Only programs
a. Active Duty Military
b. After Only programs
b. DoD Civilian
c. Before and After School programs
c. Reservists on Active Duty or during inactive duty personnel
training
d. Summer Programs
e. Holiday Programs
d. Contractor
8. NUMBER OF CHILDREN WITH SPECIAL NEEDS
e. Coast Guard
ENROLLED IN THE SAC PROGRAM*
f. Other (Specify)
0
g. TOTAL
9. FISCAL YEAR NONAPPROPRIATED FUND (NAF) FINANCIAL DATA FOR
10. TOTAL DIRECT/NON-SUPERVISORY SERVICE
SAC
POSITIONS FILLED* (APF/NAF/Contractor)
NAF: a. CC 1
APF: f. GS 2
a. NAF income generated from parent fees
b. CC 2
g. GS 3
11. NUMBER OF DIRECT SERVICE STAFF WHO ARE FAMILY MEMBERS OF
c. CC 3
h. GS 4
ACTIVE DUTY* (Spouse Employment)
d. CC 4
i. GS 5
e. CC 5
j. GS 6/7
0
0
12. NUMBER OF DIRECT SERVICE STAFF RECEIVING BENEFITS*
Total NAF
Total APF
Total Contractor
14. NUMBER OF SCHOOL-AGE CARE SPACES THAT
13. NUMBER OF DIRECT SERVICE STAFF IN THE FOLLOWING CATEGORIES*
CANNOT BE FILLED DUE TO LACK OF STAFF*
NAF:
APF:
a. Regular
c. Full-Time
b. Flex
d. Part-Time
15. ACCREDITATION*
16. DOD CERTIFICATION*
a. Total number of eligible programs
a. Number of School-Age Programs DoD certified
b. Number of eligible programs accredited
b. Number of School-Age Programs without current DoD certification
c. Number of School-Age Programs operating under a waiver
17. REMARKS (Attach additional pages if necessary.)
DD FORM 2646, DEC 2002
PREVIOUS EDITION IS OBSOLETE.
Reset
Adobe Professional 7.0
REPORT CONTROL SYMBOL
DEPARTMENT OF DEFENSE SCHOOL-AGE CARE (SAC) PROGRAM
DD-P&R(A)1954
ANNUAL SUMMARY OF OPERATIONS
INSTRUCTIONS
Complete the following information for your Service. If the information is available for Reserve and other school-age programs under your
Service's jurisdiction, complete a separate form. Date of record for specific entries noted by an asterisk (*) is the last Wednesday in
September of each fiscal year except specialty/summer camps and the last Wednesday in July of each fiscal year will be used for that
category.
1. BRANCH OF SERVICE/DEFENSE AGENCY
2. TIME PERIOD COVERED
3. TOTAL INSTALLATIONS PROVIDING
(YYYY1001 - YYYY0930)
SCHOOL-AGE CARE*
4. TOTAL NUMBER OF FACILITIES DESIGNATED AS SCHOOL-AGE PROGRAMS*
5. OPERATIONAL CAPACITY IN ALL
FACILITIES AND FOR EXCLUSIVE SAC IN-
HOME CARE*
a. Which of the following types of facilities do you use to provide services to
school-age children? (X all that apply)
a. During School Year
(1) Off-installation schools
(5) Youth Centers
b. During Summer Camps
(2) On-installation schools (DoDEA)
(6) Other on-base facilities
c. During School Holiday Camps
(3) On-installation schools (Other)
(7) Designated in-home care exclusive for SAC
d. During Specialty Camps
(4) Child Development Centers
(8) Other (Specify)
7. PAID ENROLLMENT ON DATE OF RECORD*
6. NUMBER OF CHILDREN ENROLLED IN SCHOOL-
AGE PROGRAMS DURING LAST FISCAL YEAR
CHILDREN OF
a. Before Only programs
a. Active Duty Military
b. After Only programs
b. DoD Civilian
c. Before and After School programs
c. Reservists on Active Duty or during inactive duty personnel
training
d. Summer Programs
e. Holiday Programs
d. Contractor
8. NUMBER OF CHILDREN WITH SPECIAL NEEDS
e. Coast Guard
ENROLLED IN THE SAC PROGRAM*
f. Other (Specify)
0
g. TOTAL
9. FISCAL YEAR NONAPPROPRIATED FUND (NAF) FINANCIAL DATA FOR
10. TOTAL DIRECT/NON-SUPERVISORY SERVICE
SAC
POSITIONS FILLED* (APF/NAF/Contractor)
NAF: a. CC 1
APF: f. GS 2
a. NAF income generated from parent fees
b. CC 2
g. GS 3
11. NUMBER OF DIRECT SERVICE STAFF WHO ARE FAMILY MEMBERS OF
c. CC 3
h. GS 4
ACTIVE DUTY* (Spouse Employment)
d. CC 4
i. GS 5
e. CC 5
j. GS 6/7
0
0
12. NUMBER OF DIRECT SERVICE STAFF RECEIVING BENEFITS*
Total NAF
Total APF
Total Contractor
14. NUMBER OF SCHOOL-AGE CARE SPACES THAT
13. NUMBER OF DIRECT SERVICE STAFF IN THE FOLLOWING CATEGORIES*
CANNOT BE FILLED DUE TO LACK OF STAFF*
NAF:
APF:
a. Regular
c. Full-Time
b. Flex
d. Part-Time
15. ACCREDITATION*
16. DOD CERTIFICATION*
a. Total number of eligible programs
a. Number of School-Age Programs DoD certified
b. Number of eligible programs accredited
b. Number of School-Age Programs without current DoD certification
c. Number of School-Age Programs operating under a waiver
17. REMARKS (Attach additional pages if necessary.)
DD FORM 2646, DEC 2002
PREVIOUS EDITION IS OBSOLETE.
Reset
Adobe Professional 7.0

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