View Information Collection Request (ICR) Package
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View ICR - Agency Submission
COMMENT
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Days
HR
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OMB Control No:
0970-0338
ICR Reference No:
202511-0970-001
Status:
Received in OIRA
Previous ICR Reference No:
202506-0970-003
Agency/Subagency:
HHS/ACF
Agency Tracking No:
OFA
Title:
Temporary Assistance for Needy Families (TANF) Data Reporting for Work Participation
Type of Information Collection:
Revision of a currently approved collection
Common Form ICR:
No
Type of Review Request:
Regular
Date Submitted to OIRA:
11/20/2025
Requested
Previously Approved
Expiration Date
36 Months From Approved
10/31/2026
Responses
525
668
Time Burden (Hours)
546,804
609,144
Cost Burden (Dollars)
0
0
Abstract:
Temporary Assistance for Needy Families (TANF) Data Reporting for Work Participation (formerly titled DRA TANF Final Rule; OMB #0970-0338) includes the TANF work verification procedures, the Caseload Reduction Documentation Process, the Reasonable Cause/Corrective Compliance Documentation Process, the TANF Data Report, the Separate State Programs - Maintenance of Effort (SSP-MOE) Data Report and TANF Sampling and Statistical Methods. We are requesting a three-year extension for the information collections approved under this OMB number. We are proposing to continue the same information collections with no changes, with the exception of the ACF-202: Caseload Reduction Report for which we are proposing substantive changes to the instructions and form.
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:
90 FR 39193
08/14/2025
30-day Notice:
Federal Register Citation:
Citation Date:
90 FR 52409
11/20/2025
Did the Agency receive public comments on this ICR?
No
Number of Information Collection (IC) in this ICR:
6
IC Title
Form No.
Form Name
Caseload Reduction Documentation Process ACF-202
ACF-202, ACF-202
Case Load Reduction Form Part I
,
Case Load Reduction Form Part I
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 Request
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
525
668
0
-143
0
0
Annual Time Burden (Hours)
546,804
609,144
0
-62,340
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:
Yes
Burden Reduction Due to:
Miscellaneous Actions
Short Statement:
Reporting requirements have not changed since the last renewal of this information collection in 2023. However, estimates of burden have been adjusted to reflect that states spend less time on revisions than initial submissions, and that not all states submit each form each year.
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:
11/20/2025
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