Information Collection Request

Generic Clearance for Financial Reports used for ACF Non-Discretionary Grant Programs

ICR 202405-0970-002 · OMB 0970-0510 · Received in OIRA

⚠️ Notice: This information collection may be outdated. More recent filings for OMB 0970-0510 can be found here:

Forms and Documents

Document Name	Status
Form SF-425 Supplement Refugee Support Services Federal Financial Report (SF-425) Supplemental Data Collection Form and Instruction	New
Form ORR-2 Supplement Refugee Cash and Medical Assistance Federal Financial Report (ORR-2) Supplemental Data Collection Form	New
Form 34 Child Support Services Program Financial Reporting Forms (OCSS-34 and OCSS-396) Form	New
Form 496 Form CB-496: Title IV-E Programs Quarterly Financial Report Form	New
Form 696T Child Care and Development Fund (CCDF) ACF-696T Financial Report for Tribal Grantees Form	New
Form 696 Child Care and Development Fund (CCDF) ACF-696 Financial Report for States and Territories Form	New
Attachment B - NonDisc Grant GenIC Submission Template 2024.docx Supplementary Document	2024-05-02
Attachment A - FRN Template - Financial Rpts NonDisc Grant Recipients GenIC.docx Supplementary Document	2024-05-02
SSA - Financial Rpts NonDisc Grant Recipients_0970-0510_Extension 2024_DRAFT.docx Supporting Statement A	2024-05-02

IC Document Collections

IC ID	Document Title	Status
267421	Refugee Support Services Federal Financial Report (SF-425) Supplemental Data Collection Form and Instruction	New
267397	Refugee Cash and Medical Assistance Federal Financial Report (ORR-2) Supplemental Data Collection Form	New
267396	Child Support Services Program Financial Reporting Forms (OCSS-34 and OCSS-396) Form	New
267382	Form CB-496: Title IV-E Programs Quarterly Financial Report Form	New
267381	Child Care and Development Fund (CCDF) ACF-696T Financial Report for Tribal Grantees Form	New
267379	Child Care and Development Fund (CCDF) ACF-696 Financial Report for States and Territories Form	New

ICR Details

Status	Received in OIRA
Agency/Subagency	HHS/ACF
OMB Control No	0970-0510
Type of Information Collection	Revision of a currently approved collection
Previous ICR Reference No	202308-0970-008
Date Submitted to OIRA	1969-12-31
Requested Expiration Date	1969-12-31