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View ICR - OIRA Conclusion

OMB Control No: 0970-0247	ICR Reference No: 202001-0970-005
Status: Historical Active	Previous ICR Reference No: 201610-0970-013
Agency/Subagency: HHS/ACF	Agency Tracking No: OA
Title: Form ACF-196, TANF Financial Reporting Form for States
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 03/17/2020
	Date Received in OIRA: 01/27/2020
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	03/31/2023	36 Months From Approved	03/31/2020
Responses	5	0	204
Time Burden (Hours)	25	0	2,040
Cost Burden (Dollars)	0	0	0

ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to Adjustment in Estimate
Annual Number of Responses	5	204	-199
Annual Time Burden (Hours)	25	2,040	-2,015
Annual Cost Burden (Dollars)	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: Five states have unobligated funds from prior to FY 2015: Arkansas (2013, 2014), Hawaii (2014), New York (2013, 2014), Tennessee (2013 2014), and Wyoming (2014). When they spend these funds, they would report them on the ACF-196R, but as long as the grant awards remain open, there is a possibility that one of these states may make a correction to one of these earlier periods.

Annual Cost to Federal Government: $861

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination. No

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination. No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? Yes

Is this ICR related to the Pandemic Response? Uncollected

Agency Contact: Molly Buck 202 205-4724 mary.buck@acf.hhs.gov

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