View Information Collection Request (ICR) Package

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View ICR - OIRA Conclusion

OMB Control No: 0970-0234	ICR Reference No: 202102-0970-005
Status: Historical Active	Previous ICR Reference No: 202011-0970-006
Agency/Subagency: HHS/ACF	Agency Tracking No: OCS
Title: Social Services Block Grant (SSBG) Post-Expenditure Report, Pre-Expenditure and Intended Use Plan
Type of Information Collection: Revision of a currently approved collection	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 05/14/2021
	Date Received in OIRA: 03/16/2021
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	05/31/2024	36 Months From Approved	01/31/2024
Responses	168	0	112
Time Burden (Hours)	8,512	0	6,272
Cost Burden (Dollars)	0	0	0

ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to Agency Discretion
Annual Number of Responses	168	112	56
Annual Time Burden (Hours)	8,512	6,272	2,240
Annual Cost Burden (Dollars)	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: This request includes the addition of a standard reporting form for states to submit Intended Use Plans and also identifies burden for the pre-expenditure report more clearly in A12. The addition of the Intended Use Plan form and instructions increases burden under OMB #0970-0234.

Annual Cost to Federal Government: $211,285

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? No

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

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