ACF-196: TANF Quarterly Financial Report

Form ACF-196, TANF Financial Reporting Form for States

Documents and Forms

Document Name Document Type
Form 196 ACF-196: TANF Quarterly Financial Report Form
Form ACF-196 Instructions FINAL JAN2020_01_21_2020.pdf Instruction
196 TANF Financial Report ACF-196_ TANF ARRA Financial Report_01_23_2020.pdf Form

Information Collection (IC) Details

IC Title:	ACF-196: TANF Quarterly Financial Report	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	196	TANF Financial Report	ACF-196_ TANF ARRA Financial Report_01_23_2020.pdf		Yes	Yes	Fillable Printable
Instruction			Form ACF-196 Instructions FINAL JAN2020_01_21_2020.pdf		Yes	Yes	Fillable Printable

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 5	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	5	-199	204
Annual IC Time Burden (Hours)	25	-2,015	2,040
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.