Information Collection Request

Temporary Assistance for Needy Families (TANF) Data Reporting for Work Participation

ICR 202506-0970-003 · OMB 0970-0338 · Received in OIRA

⚠️ Notice: This information collection may be outdated. More recent filings for OMB 0970-0338 can be found here:

2025-11-20 - Revision of a currently approved collection

Forms and Documents

Document	Type	Status	Availability
Form 1 SSP-MOE Data Report - Part 265	Form	Modified	Repair queued
Form 1 TANF Data Report - Part 265	Form	Modified	Repair queued
Form 1 Work Verification Plan	Form and Instruction	Unchanged	Missing upstream
Form ACF-202 Caseload Reduction Documentation Process ACF-202	Form and Instruction	Unchanged	Repair queued
NonSub Change Request - TANFSSP Data Report - 06.02.25_clean.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2025-06-03	Missing upstream
NonSub Change Request TANF Data Report_1.31.25.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2025-02-10	Repair queued
NonSub Change Request TANF Data Report_12.17.24.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2024-12-17	Repair queued
NonSub Change Request TANF Data Report_clean.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2024-09-16	Repair queued
NonSub Change Request TANF Data Report_12.14.23.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2023-12-14	Repair queued
ACF Response to Comment during 30 day Comment Period.docx	Supplementary Document	Uploaded 2023-10-25	Repair queued
Appendix A - TANF Data Reporting 0970-0338_Public Comments and ACF Responses_fnl.docx	Supplementary Document	Uploaded 2023-09-14	Repair queued
Supporting Statement B_TANF Data Reporting_2023_7.3.23.docx	Supporting Statement B	Uploaded 2023-09-14	Repair queued
Supporting Statement A_TANF Data Reporting_2023_9.13.23.docx	Supporting Statement A	Uploaded 2023-09-14	Repair queued

IC Document Collections

IC ID	Collection	Type	Status
243383	TANF Sampling and Statistical Methods Manual Part 265.5	Other-TANF Sampling and Statistical Methods Manual	Unchanged
183727	SSP-MOE Data Report - Part 265	Form	Modified
183726	TANF Data Report - Part 265	Form	Modified
183725	Reasonable Cause/Corrective Compliance Documentation Process		Unchanged
183724	Work Verification Plan	Form and Instruction	Unchanged
183723	Caseload Reduction Documentation Process ACF-202	Form and Instruction	Unchanged

ICR Details

OMB Control No: 0970-0338	ICR Reference No: 202506-0970-003
Status: Received in OIRA	Previous ICR Reference No: 202502-0970-010
Agency/Subagency: HHS/ACF	Agency Tracking No: OFA
Title: Temporary Assistance for Needy Families (TANF) Data Reporting for Work Participation
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR: No
Type of Review Request: Regular	Date Submitted to OIRA: 06/03/2025

	Requested	Previously Approved
Expiration Date	10/31/2026	10/31/2026
Responses	668	668
Time Burden (Hours)	609,144	609,144
Cost Burden (Dollars)	0	0

Abstract: Revised instructions for the TANF and Separate State Program - Maintenance-of-Effort (SSP-MOE) Data Report were recently approved as part of a nonsubstantive change request to the TANF Data Reporting for Work Participation information collection. Since approval, ongoing discussion and questions from states have prompted OFA to propose minor changes to add clarifying guidance and ensure consistency and alignment with TANF regulations. We are requesting approval of these minor changes to ensure that states are able to continue reporting with minimum disruption.

Authorizing Statute(s): US Code: 42 USC 601, 607, 609, 611, 613, 1302 Name of Law: Block Grants to States for Temporary Assistance for Needy Families

Citations for New Statutory Requirements: None

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

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	88 FR 41644	06/27/2023
30-day Notice:	Federal Register Citation:	Citation Date:
	88 FR 64435	09/19/2023
Did the Agency receive public comments on this ICR? Yes

Number of Information Collection (IC) in this ICR: 6

IC Title	Form No.	Form Name
Caseload Reduction Documentation Process ACF-202	ACF-202	Case Load Reduction Form and Instructions
Reasonable Cause/Corrective Compliance Documentation Process
SSP-MOE Data Report - Part 265	1	SSP-MOE Data Report Form - Part 265
TANF Data Report - Part 265	1	TANF Data Report Part 265
TANF Sampling and Statistical Methods Manual Part 265.5
Work Verification Plan	1	Work Verification Plan Guidance

ICR Summary of Burden

	Total Request	Previously Approved
Annual Number of Responses	668	668
Annual Time Burden (Hours)	609,144	609,144
Annual Cost Burden (Dollars)	0	0

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

Burden Increase Due to:

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

Burden Reduction Due to:

Short Statement:

Annual Cost to Federal Government: $1,080,000

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination. Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination. Yes

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)? No

Is this ICR related to the Pandemic Response? No

Agency Contact: Molly Buck 202 205-4724 [email protected]

Common Form ICR: No