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OMB Control No: 0970-0548	ICR Reference No: 202604-0970-007
Status: Received in OIRA	Previous ICR Reference No: 202407-0970-007
Agency/Subagency: HHS/ACF	Agency Tracking No: OCSS
Title: Tribal Budget and Narrative Justification Template
Type of Information Collection: Revision of a currently approved collection	Common Form ICR: No
Type of Review Request: Regular	Date Submitted to OIRA: 04/28/2026

	Requested	Previously Approved
Expiration Date	36 Months From Approved	05/31/2026
Responses	63	60
Time Burden (Hours)	1,008	992
Cost Burden (Dollars)	0	0

ICR Summary of Burden

	Total Request	Previously Approved	Change Due to Agency Discretion
Annual Number of Responses	63	60	3
Annual Time Burden (Hours)	1,008	992	16
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: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: There have been some changes from the previous submission. These include: • OCSE has added three tribal child support programs to our list of grantees. This change has increased the number of respondents, and therefore impacted estimated total burden hours. • OCSE has made minor changes to the Excel form including updating links and formulas in the document as well as references to the cost principles from 45 CFR 75 to 2 CFR 200, which HHS adopted effective October 1, 2025. This includes changes to examples in the sample budget to correspond with the newly adopted cost principles. • OCSE also proposes to discontinue the Tribal Budget and Narrative Justification Template (Word version only). The Word format is not used by our tribal partners.

Annual Cost to Federal Government: $9,639

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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