TANF Quarterly Financial Report, ACF-196R

Forms and Documents

Document Name	Status
Form 196 ACF-196R Form	New
Revised ACF-196R Instructions (FR2) Final.doc Supplementary Document	2014-01-15
Supporting Statement ACF196R Finalcleans.doc Supporting Statement A	2014-04-23

IC Document Collections

IC ID	Document Title	Status
210064	ACF-196R Form	New

ICR Details

OMB Control No: 0970-0446	ICR Reference No: 201401-0970-002
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: HHS/ACF	Agency Tracking No: 21323
Title: TANF Quarterly Financial Report, ACF-196R
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 05/02/2014
	Date Received in OIRA: 01/16/2014
Terms of Clearance: ACF needs to continue to use ACF-196 (OMB No 0970-0247) for the monitoring of and adjustments to grant year awards issued prior to FY 2015 until all states have closed these pre-FY 2015 grant awards, which could take several years. Once all of these pre-FY 2015 awards are closed, ACF-196 will become obsolete and ACF will submit a request to discontinue the IC associated with ACF-196.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	05/31/2017	36 Months From Approved
Responses	204	0	0
Time Burden (Hours)	6,528	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: Approval of the ACF-196R would result in two basic changes to TANF quarterly financial reports. The first primary change is to require respondents to allocate annual expenditures among an expanded list of categories on the ACF-196R; these categories better reflect the wide range of activities on which state TANF agencies are expending funds. The second primary change is to the accounting method used to report expenditures made in a fiscal year and monitor cumulative expenditures by grant year award. We explain these changes in further detail in our response to question 15 in the Supporting Statement.

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Authorizing Statute(s): PL: Pub.L. 104 - 193 411 Name of Law: PRWORA
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	78 FR 56236	09/12/2013
30-day Notice:	Federal Register Citation:	Citation Date:
	79 FR 2444	01/14/2014
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
ACF-196R	196	Quarterly Financial Report

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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	204	0	0	204	0	0
Annual Time Burden (Hours)	6,528	0	0	6,528	0	0
Annual Cost Burden (Dollars)	0	0	0	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 is a new ICR.

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Annual Cost to Federal Government: $40,800

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? 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? Uncollected

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Common Form ICR:  No

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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: 01/16/2014

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