View Information Collection Request (ICR) Package
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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:
0970-0338
ICR Reference No:
202506-0970-003
Status:
Active
Previous ICR Reference No:
202502-0970-010
Agency/Subagency:
HHS/ACF
Agency Tracking No:
OFA
Title:
Temporary Assistance for Needy Families (TANF) Data Reporting for Work Participation
Type of Information Collection:
No material or nonsubstantive change to a currently approved collection
Common Form ICR:
No
Type of Review Request:
Regular
OIRA Conclusion Action:
Approved with change
Conclusion Date:
06/18/2025
Retrieve Notice of Action (NOA)
Date Received in OIRA:
06/03/2025
Terms of Clearance:
Approved consistent with the understanding that OFA will continue TA efforts, including continued support for existing (former) pilot states, in addition to all states interested in improving outcomes for families within the statutory framework of the program. In addition, approved consistent with the understanding that OFA will align reporting requirements for new pilot states once selected to the best of their ability.
Inventory as of this Action
Requested
Previously Approved
Expiration Date
10/31/2026
10/31/2026
10/31/2026
Responses
668
0
668
Time Burden (Hours)
609,144
0
609,144
Cost Burden (Dollars)
0
0
0
Abstract:
Revised instructions for the TANF and Separate State Program - Maintenance-of-Effort (SSP-MOE) Data Report were recently approved as part of a nonsubstantive change request to the TANF Data Reporting for Work Participation information collection. Since approval, ongoing discussion and questions from states have prompted OFA to propose minor changes to add clarifying guidance and ensure consistency and alignment with TANF regulations. We are requesting approval of these minor changes to ensure that states are able to continue reporting with minimum disruption.
Authorizing Statute(s):
US Code:
42 USC 601, 607, 609, 611, 613, 1302
Name of Law: Block Grants to States for Temporary Assistance for Needy Families
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:
88 FR 41644
06/27/2023
30-day Notice:
Federal Register Citation:
Citation Date:
88 FR 64435
09/19/2023
Did the Agency receive public comments on this ICR?
Yes
Number of Information Collection (IC) in this ICR:
6
IC Title
Form No.
Form Name
Caseload Reduction Documentation Process ACF-202
ACF-202
Case Load Reduction Form and Instructions
Reasonable Cause/Corrective Compliance Documentation Process
SSP-MOE Data Report - Part 265
1
SSP-MOE Data Report Form - Part 265
TANF Data Report - Part 265
1
TANF Data Report Part 265
TANF Sampling and Statistical Methods Manual Part 265.5
Work Verification Plan
1
Work Verification Plan Guidance
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
668
668
0
0
0
0
Annual Time Burden (Hours)
609,144
609,144
0
0
0
0
Annual Cost Burden (Dollars)
0
0
0
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:
Annual Cost to Federal Government:
$1,080,000
Does this IC contain surveys, censuses, or employ statistical methods?
Yes
Part B of Supporting Statement
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.
Yes
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.
Yes
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
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:
06/03/2025
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