Temporary Assistance for Needy Families Quarterly Financial Report

Forms and Documents

Document Name	Status
Form ACF-196 Temporary Assistance for Needy Families Quarterly Financial Report Form	Modified
196 Supporting Statement Apr 2011 ofa 041812.doc Supporting Statement A	2012-04-25

IC Document Collections

IC ID	Document Title	Status
10098	Temporary Assistance for Needy Families Quarterly Financial Report Form	Modified

ICR Details

OMB Control No: 0970-0247	ICR Reference No: 201204-0970-005
Status: Historical Active	Previous ICR Reference No: 200903-0970-008
Agency/Subagency: HHS/ACF	Agency Tracking No:
Title: Temporary Assistance for Needy Families Quarterly Financial Report
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 08/07/2012
	Date Received in OIRA: 04/25/2012
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	08/31/2015	36 Months From Approved	08/31/2012
Responses	204	0	204
Time Burden (Hours)	1,632	0	1,632
Cost Burden (Dollars)	0	0	0

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Abstract: The form is used by states to report expenditures under the temporary assistance for needy families program. State agencies will use this form to report data on a quarterly basis. The form provides data on financial disbursements, obligations, and estimates, it provides states with a mechanism to request program funding and certify the availability of state matching funds. Failure to collect this data would seriously compromise the administration for children and families' ability to monitor expenditures. This form may also be used to prepare congressional budget.

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Authorizing Statute(s): PL: Pub.L. 104 - 193 402 Name of Law: PRWORA
  

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:
	77 FR 9943	02/21/2012
30-day Notice:	Federal Register Citation:	Citation Date:
	77 FR 24496	04/24/2012
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
Temporary Assistance for Needy Families Quarterly Financial Report	ACF-196	Quarterly Financial Report

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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	204	204	0	0	0	0
Annual Time Burden (Hours)	1,632	1,632	0	0	0	0
Annual Cost Burden (Dollars)	0	0	0	0	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:

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Annual Cost to Federal Government: $20,400

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

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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: 04/25/2012

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