Tribal Budget and Narrative Justification Template

OMB Control No: 0970-0548	ICR Reference No: 202604-0970-007
Status: Received in OIRA	Previous ICR Reference No: 202407-0970-007
Agency/Subagency: HHS/ACF	Agency Tracking No: OCSS
Title: Tribal Budget and Narrative Justification Template
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular	Date Submitted to OIRA: 04/28/2026

	Requested	Previously Approved
Expiration Date	36 Months From Approved	05/31/2026
Responses	63	60
Time Burden (Hours)	1,008	992
Cost Burden (Dollars)	0	0

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Abstract: To receive child support funding under 42 U.S.C. 655(f) and 45 CFR Part 309, tribes and tribal organizations must submit the financial forms described in 45 CFR 309.130(b) and other forms as the Secretary may designate, due no later than August 1 annually. The optional Tribal Budget and Narrative Justification Template helps improve efficiency and establish uniformity and consistency in the annual budget preparation, submission, and review processes. Tribes use this Excel template to prepare and submit the required financial information.

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Authorizing Statute(s): US Code: 42 USC 655(f) Name of Law: Social Security Act (section IV-D)

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:
	91 FR 6227	02/11/2026
30-day Notice:	Federal Register Citation:	Citation Date:
	91 FR 22842	04/28/2026
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 Tribal Budget and Narrative Justification – Excel 1 Tribal Budget and Narrative Justification Template - Excel Tribal Budget and Narrative Justification – Word 1 - Word Tribal Budget and Narrative Justification Template - Word

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ICR Summary of Burden

	Total Request	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	63	60	0	3	0	0
Annual Time Burden (Hours)	1,008	992	0	16	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: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: There have been some changes from the previous submission. These include: • OCSE has added three tribal child support programs to our list of grantees. This change has increased the number of respondents, and therefore impacted estimated total burden hours. • OCSE has made minor changes to the Excel form including updating links and formulas in the document as well as references to the cost principles from 45 CFR 75 to 2 CFR 200, which HHS adopted effective October 1, 2025. This includes changes to examples in the sample budget to correspond with the newly adopted cost principles. • OCSE also proposes to discontinue the Tribal Budget and Narrative Justification Template (Word version only). The Word format is not used by our tribal partners.

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Annual Cost to Federal Government: $9,639

Does this IC contain surveys, censuses, or employ statistical methods? No

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.     No

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.     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)? No

Is this ICR related to the Pandemic Response? No

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

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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: 04/28/2026

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