View Information Collection Request (ICR) Package
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Brief and OIRA conclusion
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IC List
Burden
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Common Form Info.
Certification
View Information Collection (IC) List
View Supporting Statement and Other Documents
Please note that the OMB number and expiration date may not have been determined when this Information Collection Request and associated Information Collection forms were submitted to OMB. The approved OMB number and expiration date may be found by clicking on the Notice of Action link below.
View ICR - OIRA Conclusion
OMB Control No:
0970-0345
ICR Reference No:
200803-0970-005
Status:
Historical Active
Previous ICR Reference No:
Agency/Subagency:
HHS/ACF
Agency Tracking No:
Title:
Tribal TANF Financial Report (ACF-196T)
Type of Information Collection:
New collection (Request for a new OMB Control Number)
Common Form ICR:
No
Type of Review Request:
Regular
OIRA Conclusion Action:
Approved with change
Conclusion Date:
07/01/2008
Retrieve Notice of Action (NOA)
Date Received in OIRA:
03/12/2008
Terms of Clearance:
Changes made to the cost/burden estimate are a result of ACF opting to use a more abbreviated form, as recommended by both commenters and OMB on a previous submission.
Inventory as of this Action
Requested
Previously Approved
Expiration Date
07/31/2011
36 Months From Approved
Responses
224
0
0
Time Burden (Hours)
336
0
0
Cost Burden (Dollars)
0
0
0
Abstract:
Tribes use the Quarterly Financial Report (ACF-196T) to report expenditures on a quarterly basis for the Tribal Temporary Assistance for needy families (TANF) program. The form provides specific data regarding financial disbursements and obligations. Failure to collect this data would seriously compromise the Administration for Children and Families ability to monitor expenditures. Data from this form may be used to prepare ACF budget submissions to Congress.
Authorizing Statute(s):
PL:
Pub.L. 104 - 193 1
Name of Law: Personal Responsibility and Work Opportunity Reconiliation Act
US Code:
42 USC 612
Name of Law: Tribal Family Assistance Grant
Citations for New Statutory Requirements:
None
Associated Rulemaking Information
RIN:
Stage of Rulemaking:
Federal Register Citation:
Date:
Not associated with rulemaking
Federal Register Notices & Comments
60-day Notice:
Federal Register Citation:
Citation Date:
72 FR 27319
05/15/2007
30-day Notice:
Federal Register Citation:
Citation Date:
72 FR 62651
11/06/2007
Did the Agency receive public comments on this ICR?
No
Number of Information Collection (IC) in this ICR:
1
IC Title
Form No.
Form Name
ACF-196T Tribal TANF Report Form
ACF-196T
ACF-196T
ICR Summary of Burden
Total Approved
Previously Approved
Change Due to New Statute
Change Due to Agency Discretion
Change Due to Adjustment in Estimate
Change Due to Potential Violation of the PRA
Annual Number of Responses
224
0
0
224
0
0
Annual Time Burden (Hours)
336
0
0
336
0
0
Annual Cost Burden (Dollars)
0
0
0
0
0
0
Burden increases because of Program Change due to Agency Discretion:
Yes
Burden Increase Due to:
Miscellaneous Actions
Burden decreases because of Program Change due to Agency Discretion:
No
Burden Reduction Due to:
Short Statement:
Section 412(h) of the Social Security Act requires Tribes receiving TANF grants to make reports on programs and activities as required by the Secretary of Health and Human Services. Implementing regulations at 45 CFR 286.255 requires quarterly reports. The Tribal TANF financial reporting form (ACF-196T) provides a mechanism for Indian Tribes to submit those reports under the TANF program.
Annual Cost to Federal Government:
$31,300
Does this IC contain surveys, censuses, or employ statistical methods?
No
Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002?
No
Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]?
Uncollected
Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]?
Uncollected
Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)?
Uncollected
Is this ICR related to the Pandemic Response?
Uncollected
Agency Contact:
Robert Sargis 2026907275
Common Form ICR:
No
On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
(a) It is necessary for the proper performance of agency functions;
(b) It avoids unnecessary duplication;
(c) It reduces burden on small entities;
(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;
(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;
(f) It indicates the retention periods for recordkeeping requirements;
(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:
(i) Why the information is being collected;
(ii) Use of information;
(iii) Burden estimate;
(iv) Nature of response (voluntary, required for a benefit, or mandatory);
(v) Nature and extent of confidentiality; and
(vi) Need to display currently valid OMB control number;
(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.
(i) It uses effective and efficient statistical survey methodology (if applicable); and
(j) It makes appropriate use of information technology.
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
Certification Date:
03/12/2008
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