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OMB Control No: 1505-0264	ICR Reference No: 202004-1505-001
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: TREAS/DO	Agency Tracking No:
Title: CARES Act Coronavirus Relief Fund for SLT
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR: No
Type of Review Request: Emergency	Approval Requested By: 04/12/2020
OIRA Conclusion Action: Approved with change	Conclusion Date: 04/12/2020
	Date Received in OIRA: 04/12/2020
Terms of Clearance: Due date of Recipient Payment Information Form clarified during review. Treasury will provide OMB with opportunity to review associated web page guidance and will update forms if necessary as a result of continuing discussions between OMB and Treasury.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	10/31/2020	6 Months From Approved
Responses	1,750	0	0
Time Burden (Hours)	3,500	0	0
Cost Burden (Dollars)	0	0	0

Abstract: On March 27, 2020, the President signed the Coronavirus Aid, Relief, and Economic Security Act (CARES Act), Pub. L. No. 116-136. Section 601(a)(1) of the Social Security Act as added by section 5001 of the CARES Act provides $150 billion for the U.S. Department of the Treasury (Treasury) to make payments to States (defined to include the District of Columbia, Puerto Rico, U.S. Virgin Islands, Guam, Northern Mariana Islands, and American Samoa), Tribal governments, and certain eligible local governments with more than 500,000 residents to assist with necessary expenditures incurred due to the Coronavirus Disease 2019 (COVID–19) pandemic. Section 601(b)(1) of the Social Security Act as added by section 5001 of the CARES Act provides that not later than 30 days after March 27, 2020, the Secretary shall pay each State and Tribal government, and eligible local government.

Emergency Justfication: Treasury requires the ability to collect payment information from the recipients in order to expedite payments in order to mitigate the immediate the COVID-19 economic shock on state and local budgets. . Given the short timeframe for implementing the new legislation, Treasury is unable to consult with the public prior to issuing the forms, however the Treasury has ample experience designing other similar forms in a way that is clear and minimizes burden. Treasury requests approval of the submission by April 11, 2020. Given the inability to seek public comment during such a short timeframe, Treasury requests a waiver from the requirement to publish notice in the Federal Register seeking public comment during the period of OMB review.

Authorizing Statute(s): PL: Pub.L. 116 - 136 601(b)(1) Name of Law: CARES Act

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
Did the Agency receive public comments on this ICR? No

Number of Information Collection (IC) in this ICR: 3

IC Title	Form No.	Form Name
Local Government Certifications	n/a
SLT Recipient Payment Information Form	n/a
Tribal Affidavit	n/a

ICR Summary of Burden

	Total Approved	Change Due to Agency Discretion
Annual Number of Responses	1,750	1,750
Annual Time Burden (Hours)	3,500	3,500
Annual Cost Burden (Dollars)	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: This collection of information is a new statutory requirement and does not reflect a change in any previous burden.

Annual Cost to Federal Government: $0

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)? No

Is this ICR related to the Pandemic Response? Yes

Agency Contact: Molly Stasko 202 622-8922 molly.stasko@treasury.gov

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