Tribal TANF Financial Report (ACF-196T)

OMB Control No: 0970-0345	ICR Reference No: 201610-0970-025
Status: Historical Active	Previous ICR Reference No: 201302-0970-005
Agency/Subagency: HHS/ACF	Agency Tracking No: OA
Title: Tribal TANF Financial Report (ACF-196T)
Type of Information Collection: Reinstatement without change of a previously approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 02/06/2017
Retrieve Notice of Action (NOA)	Date Received in OIRA: 10/31/2016
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	02/29/2020	36 Months From Approved
Responses	288	0	0
Time Burden (Hours)	432	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: Tribes use the Quarterly Financial Report (ACF-196T) to report expenditures on a quarterly basis for the Tribal Temporary Assistance for needy families (TANF) program. The form provides specific data regarding financial disbursements and obligations. Failure to collect this data would seriously compromise the Administration for Children and Families ability to monitor expenditures. Data from this form may be used to prepare ACF budget submissions to Congress.

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Authorizing Statute(s): PL: Pub.L. 104 - 193 1 Name of Law: Personal Responsibility and Work Opportunity Reconiliation Act    US Code: 42 USC 612 Name of Law: Tribal Family Assistance Grant    PL: Pub.L. 111 - 5 402 Name of Law: American Recovery and Reinsvestment Act

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	81 FR 23301	04/20/2016
30-day Notice:	Federal Register Citation:	Citation Date:
	81 FR 71104	10/14/2016
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 ACF-196T Tribal TANF Report Form 1 Expenditure Report 196T

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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	288	0	0	288	0	0
Annual Time Burden (Hours)	432	0	0	432	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: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: This is a reinstatement.

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Annual Cost to Federal Government: $23,558

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]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

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

Is this ICR related to the Pandemic Response? Uncollected

Agency Contact: Robert Sargis 2026907275

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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: 10/31/2016

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