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Federal forms, ICRs, and supporting documents

Information Collection Request

Generic Clearance for Financial Reports used for ACF Non-Discretionary Grant Programs

ICR 202509-0970-002 · OMB 0970-0510 · Active

Forms and Documents
DocumentTypeStatusAvailability
Form SF-425 Supplement Refugee Support Services Federal Financial Report (SF-425) Supplemental Data Collection Form and Instruction Unchanged Repair queued
Form ORR-2 Supplement Refugee Cash and Medical Assistance Federal Financial Report (ORR-2) Supplemental Data Collection Form Unchanged Repair queued
Form 396 OCSS-396 Form Unchanged Available
Form 34 OCSS-34 Form Unchanged Available
Form 496 Form CB-496: Title IV-E Programs Quarterly Financial Report Form Unchanged Repair queued
Form 696T Child Care and Development Fund (CCDF) ACF-696T Financial Report for Tribal Grantees Form Modified Available
Form 696 Child Care and Development Fund (CCDF) ACF-696 Financial Report for States and Territories Form Modified Repair queued
ACF OCC CCDF NonSub Change Request OMB #0970-0510_fnl.docx Justification for No Material/Nonsubstantive Change Uploaded 2025-09-10 Available
ACF-696_ARA Change Request for GenICs.docx Justification for No Material/Nonsubstantive Change Uploaded 2025-06-03 Repair queued
ACF-696T_ARA Change Request for GenICs.docx Justification for No Material/Nonsubstantive Change Uploaded 2025-06-03 Repair queued
Change Request (Retro Cont) - 696T.docx Justification for No Material/Nonsubstantive Change Uploaded 2024-09-26 Available
Change Memo – CB-496 September 2024 Updates.docx Justification for No Material/Nonsubstantive Change Uploaded 2024-09-23 Repair queued
Change Request - OCSS 396_Financial Forms GenIC_0970-0510_9.20.24.docx Justification for No Material/Nonsubstantive Change Uploaded 2024-09-20 Repair queued
Change Request (696 & 696T non-substantive change)_fnl.docx Justification for No Material/Nonsubstantive Change Uploaded 2024-08-22 Available
ACF Response to Comments During 30-day Comment Period - Umbrella Generic Financial Reports_0970-0510.docx Supplementary Document Uploaded 2024-06-27 Repair queued
Attachment B - NonDisc Grant GenIC Submission Template 2024.docx Supplementary Document Uploaded 2024-05-02 Repair queued
Attachment A - FRN Template - Financial Rpts NonDisc Grant Recipients GenIC.docx Supplementary Document Uploaded 2024-05-02 Available
SSA - Financial Rpts NonDisc Grant Recipients_0970-0510_Extension 2024_DRAFT.docx Supporting Statement A Uploaded 2024-05-02 Available
IC Document Collections
IC IDCollectionTypeStatusForm
267421 Refugee Support Services Federal Financial Report (SF-425) Supplemental Data Collection Form and Instruction UnchangedRefugee Support Services Federal Financial Report (SF-425) Supplemental Data Collection
267421 Refugee Support Services Federal Financial Report (SF-425) Supplemental Data Collection Instruction Unchanged
267397 Refugee Cash and Medical Assistance Federal Financial Report (ORR-2) Supplemental Data Collection Form UnchangedRefugee Cash and Medical Assistance Federal Financial Report (ORR-2) Supplemental Data Collection
267397 Refugee Cash and Medical Assistance Federal Financial Report (ORR-2) Supplemental Data Collection Instruction Unchanged
267396 Child Support Services Program Financial Reporting Forms (OCSS-34 and OCSS-396) Form UnchangedOCSS-396
267396 Child Support Services Program Financial Reporting Forms (OCSS-34 and OCSS-396) Form UnchangedOCSS-34
267396 Child Support Services Program Financial Reporting Forms (OCSS-34 and OCSS-396) Instruction Unchanged
267382 Form CB-496: Title IV-E Programs Quarterly Financial Report Form UnchangedForm CB-496: Title IV-E Programs Quarterly Financial Report
267382 Form CB-496: Title IV-E Programs Quarterly Financial Report Instruction Unchanged
267381 Child Care and Development Fund (CCDF) ACF-696T Financial Report for Tribal Grantees Form ModifiedChild Care and Development Fund (CCDF) ACF-696T Financial Report for Tribal Grantees
267381 Child Care and Development Fund (CCDF) ACF-696T Financial Report for Tribal Grantees Instruction Modified
267379 Child Care and Development Fund (CCDF) ACF-696 Financial Report for States and Territories Form ModifiedChild Care and Development Fund (CCDF) ACF-696 Financial Report for States and Territories
267379 Child Care and Development Fund (CCDF) ACF-696 Financial Report for States and Territories Instruction Modified
ICR Details
0970-0510 202509-0970-002
Active 202506-0970-002
HHS/ACF
Generic Clearance for Financial Reports used for ACF Non-Discretionary Grant Programs
No material or nonsubstantive change to a currently approved collection   No
Regular
Approved without change 09/10/2025
Retrieve Notice of Action (NOA) 09/10/2025
  Inventory as of this Action Requested Previously Approved
06/30/2027 06/30/2027 06/30/2027
4,463 0 4,463
160,671 0 160,671
0 0 0
This request is for a revision to a previously approved overarching generic clearance. The title of the collection has been updated from ACF Mandatory Grant Programs to ACF Non-Discretionary Grant Programs. The proposed types of information collections and purpose and use of the collected information has not changed. This request includes the extension of multiple collections approved under this generic (GenICs) and requests updates to three of these GenICs through this revision process. The Child Care and Development Fund (CCDF) ACF-696 Financial Report for States and Territories and the CCDF ACF-696T Financial Report for Tribal Grantees have been updated to eliminate unused columns and subaccount codes as well as lines that were not funded or were funded once and will be closed. Additionally, the instructions for these forms were updated to reflect changes to the reports and current Office of Child Care and Office of Grants Management policies and program instruction to recipients. The Child Support Services Program Financial Reporting Forms (OCSS-34 and OCSS-396) have been updated to reflect an update to the program office’s name from the Office of Child Support Enforcement to the Office of Child Support Services.
None
None
Not associated with rulemaking
  89 FR 4306 01/26/2024
89 FR 38156 05/07/2024
Yes
  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 4,463 4,463 0 0 0 0
Annual Time Burden (Hours) 160,671 160,671 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No
This request is for a revision to a previously approved overarching generic clearance. We have updated burden estimates to reflect ongoing data collections that are currently approved. The title of the collection has been updated from ACF Mandatory Grant Programs to ACF Non-Discretionary Grant Programs. This request also includes updates to three of the collections approved under this generic (GenICs): the Child Care and Development Fund (CCDF) ACF-696 Financial Report for States and Territories, the CCDF ACF-696T Financial Report for Tribal Grantees, and the Child Support Services Program Financial Reporting Forms (OCSS-34 and OCSS-396).
$400,000
No
    No
    No
No
No
No
No
Molly Buck 202 205-4724 [email protected]
  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.
09/10/2025