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Federal forms, ICRs, and supporting documents

Information Collection Request

Temporary Assistance for Needy Families Quarterly Financial Report

ICR 199904-0970-001 · OMB 0970-0165 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC IDCollectionTypeStatusForm
9951 Temporary Assistance for Needy Families Quarterly Financial Report Form Migrated
ICR Details
0970-0165 199904-0970-001
Historical Active 199803-0970-004
HHS/ACF
Temporary Assistance for Needy Families Quarterly Financial Report
Reinstatement without change of a previously approved collection   No
Emergency 04/30/1999
Approved without change 04/19/1999
Retrieve Notice of Action (NOA) 04/15/1999
  Inventory as of this Action Requested Previously Approved
10/31/1999 10/31/1999
216 0 0
1,728 0 0
3,000 0 0
This form is used by States to facilitate the reporting of expenditures for the Temporary Assistance for Needy Families. State agencies will use this form to report data on a quarterly basis. The form provides specific data regarding financial disbursements, obligations, and estimates. It provides States with a mechanism to request grant awards and certify the availability of State matching funds. Failure to collect this data would seriously compromise the Administration for Children and Families' ability to monitor expenditures. This form may also be used to prepare ACF budget submissions to Congress.
None
None
No
1
IC Title Form No. Form Name
Temporary Assistance for Needy Families Quarterly Financial Report ACF-196
  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) 1,728 0 0 1,728 0 0
Annual Cost Burden (Dollars) 3,000 0 0 3,000 0 0
Yes
No
$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected
  No
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:
 
 
 
 
 
 
 
    (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;
 
 
 
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.
04/15/1999