OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

Temporary Assistance for Needy Families Quarterly Financial Report

ICR 201307-0970-004 · OMB 0970-0247 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
Form ACF-196 Temporary Assistance for Needy Families Quarterly Financial Report Form Modified Available
OGM Master (V2) ACF-196 Instructions.doc Supplementary Document Uploaded 2013-03-08 Available
Supporting Statement Final 1jul13 FINAL.doc Supporting Statement A Uploaded 2013-07-08 Available
IC Document Collections
IC IDCollectionTypeStatusForm
10098 Temporary Assistance for Needy Families Quarterly Financial Report Form Modified
ICR Details
0970-0247 201307-0970-004
Historical Active 201303-0970-006
HHS/ACF 19958
Temporary Assistance for Needy Families Quarterly Financial Report
Extension without change of a currently approved collection   No
Regular
Approved without change 08/19/2013
Retrieve Notice of Action (NOA) 07/08/2013
  Inventory as of this Action Requested Previously Approved
08/31/2016 36 Months From Approved 09/30/2013
204 0 204
2,040 0 2,040
0 0 0
The form is used by states to report expenditures under the temporary assistance for needy families program. State agencies will use this form to report data on a quarterly basis. The form provides data on financial disbursements, obligations, and estimates, it provides states with a mechanism to request program funding 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 congressional budget.
PL: Pub.L. 104 - 193 402 Name of Law: PRWORA
  
None
Not associated with rulemaking
  78 FR 42 03/04/2013
78 FR 40745 07/08/2013
Yes
1
IC Title Form No. Form Name
Temporary Assistance for Needy Families Quarterly Financial Report ACF-196 TANF Financial Report
  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 204 204 0 0 0 0
Annual Time Burden (Hours) 2,040 2,040 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No
$20,400
No
No
No
No
Yes
Uncollected
Robert Sargis 2026907275
  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.
07/08/2013