Tribal TANF Financial Report (ACF-196T)

Forms and Documents

Document Name	Status
Form 1 ACF-196T Tribal TANF Report Form Form	Modified
ACF-196T Revisions NonSub Change Request_6-24-21.docx Justification for No Material/Nonsubstantive Change	2021-06-24
Supporting Statements _ACF-196T_2.21.20_final.docx Supporting Statement A	2020-02-21

IC Document Collections

IC ID	Document Title	Status
184111	ACF-196T Tribal TANF Report Form Form	Modified

ICR Details

OMB Control No: 0970-0345	ICR Reference No: 202106-0970-006
Status: Received in OIRA	Previous ICR Reference No: 202002-0970-009
Agency/Subagency: HHS/ACF	Agency Tracking No: OA
Title: Tribal TANF Financial Report (ACF-196T)
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular	Date Submitted to OIRA: 06/25/2021

	Requested	Previously Approved
Expiration Date	04/30/2023	04/30/2023
Responses	300	300
Time Burden (Hours)	450	450
Cost Burden (Dollars)	0	0

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Abstract: Tribes use the Quarterly Financial Report (ACF-196T) to report expenditures on a quarterly basis for the Tribal Temporary Assistance for needy families (TANF) program. The form provides specific data regarding financial disbursements and obligations. The Administration for Children and Families (ACF) is authorized to collect and report the information requested under this form by the Block Grants to States Temporary Assistance for Needy Families. Implementing regulations at 45 CFR Part 286.255 (C) for Tribes indicates the requirements for financial reports as necessary.

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Authorizing Statute(s): US Code: 42 USC 612 Name of Law: Tribal Family Assistance Grant
   PL: Pub.L. 111 - 5 402 Name of Law: American Recovery and Reinsvestment Act of 2009
   PL: Pub.L. 104 - 193 1 Name of Law: Personal Responsibility and Work Opportunity Reconiliation Act
  

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:
	84 FR 71952	12/30/2019
30-day Notice:	Federal Register Citation:	Citation Date:
	85 FR 11996	02/28/2020
Did the Agency receive public comments on this ICR? No

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

IC Title	Form No.	Form Name
ACF-196T Tribal TANF Report Form	1	Expenditure Report 196T

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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	300	300	0	0	0	0
Annual Time Burden (Hours)	450	450	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:

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Annual Cost to Federal Government: $12,014

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)? Yes

Is this ICR related to the Pandemic Response? No

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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: 06/25/2021

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