OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

Temporary Assistance for Needy Families Quarterly Financial Report

ICR 201610-0970-013 · OMB 0970-0247 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
Form 196 Temporary Assistance for Needy Families Quarterly Financial Report Form Modified Repair queued
ACF-196 Supporting Statement OCT 2016.doc Supporting Statement A Uploaded 2016-10-28 Available
OGM Master (V2) ACF-196 Instructions.doc Supplementary Document Uploaded 2013-03-08 Available
IC Document Collections
IC IDCollectionTypeStatusForm
10098 Temporary Assistance for Needy Families Quarterly Financial Report Form Modified
ICR Details
0970-0247 201610-0970-013
Historical Active 201307-0970-004
HHS/ACF OA
Temporary Assistance for Needy Families Quarterly Financial Report
Reinstatement without change of a previously approved collection   No
Regular
Approved without change 01/10/2017
Retrieve Notice of Action (NOA) 10/31/2016
  Inventory as of this Action Requested Previously Approved
01/31/2020 36 Months From Approved
204 0 0
2,040 0 0
0 0 0
The ACF 196 is the form used by states to estimate funding needs and request grant awards under the Temporary Assistance for Needy Families (TANF) program. In addition, the form is used to report data in substantiation of state claims and to certify the availability of the legislatively mandated state match. ACF will use the financial data provided by states to estimate quarterly funding needs, calculate award amounts and assess compliance with statutory and regulatory requirements relating to administrative costs and state matching requirements. Without the data captured by the ACF 196, the agency’s ability to award and monitor TANF grants would be compromised. The addendums to the form due at the end of the fiscal year provides additional information regarding the spending of several general categories of spending or the basis of any estimation procedures regarding actual expenditures.
PL: Pub.L. 104 - 193 402 Name of Law: PRWORA
  
None
Not associated with rulemaking
  81 FR 41312 06/24/2016
81 FR 71103 10/14/2016
No
1
IC Title Form No. Form Name
Temporary Assistance for Needy Families Quarterly Financial Report 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 0 0 0 0 204
Annual Time Burden (Hours) 2,040 0 0 0 0 2,040
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.
10/31/2016