Statistical Report on Recipients under Public Assistance

OMB Control No: 0970-0008	ICR Reference No: 199508-0970-003
Status: Historical Active	Previous ICR Reference No: 199403-0970-001
Agency/Subagency: HHS/ACF	Agency Tracking No:
Title: Statistical Report on Recipients under Public Assistance
Type of Information Collection: Reinstatement with change of a previously approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 09/29/1995
Retrieve Notice of Action (NOA)	Date Received in OIRA: 08/24/1995
Terms of Clearance: This collection is approved through 9/96 on the following conditions: (1) ACF, following the resolution of pending welfare reform legislation, will reevaluate the need for all of the information collected through the ACF-3645 (Monthly Flash Report) the ACF-3637, and other related forms, and will report the information to OMB. This report should include a reassessment of the frequency of reporting on the respective forms based on the agency's need for information on a timely basis and an analysis of the variances between estimated data submitted by States on the ACF-3645 versus actual data submitted on the ACF-3637. (2) As agreed to with OMB, ACF will delete questions #2 and #5 from the ACF-3637 since it duplicates information collected on the ACF-103.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	09/30/1996	09/30/1996
Responses	216	0	0
Time Burden (Hours)	7,560	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: The information collected by From-3637 is needed to properly administer and monitor the Aid to Families with Dependent Children program by providing information on a quarterly basis on recipients and families in the AFDC and Adult Programs. This data is used by Congress, Federal agencies, and others.

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Authorizing Statute(s): None

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:

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Federal Register Notices & Comments

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 Statistical Report on Recipients under Public Assistance ACF-3637

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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	216	0	0	216	0	0
Annual Time Burden (Hours)	7,560	0	0	7,560	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:

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: $0

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]? Uncollected

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? Uncollected

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? Uncollected

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: 08/24/1995

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