This Report to Congress is required by Section 658L of the Child Care and Development Block Grant Act (CCDBG) as amended. The report provides information about the role of the Child Care and Development Fund (CCDF) in improving access to high-quality child care in states, territories, and tribes. The data and analysis contained in this report are from a variety of sources, including CCDF expenditure reports for Fiscal Year (FY) 2008 through FY 2011; Biennial State Plans effective October 1, 2007 through September 30, 2009 (FY 2008-2009) and October 1, 2009 through September 30, 2011 (FY 2010-2011); and administrative data about children and families receiving CCDF services in FY 2008 through FY 2011. This report also includes information about training and technical assistance that is provided to states, territories, and tribes. The report closes with a look to the future, which focuses on activities to improve the quality of child care across the country. (author abstract)