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ACF-196T Tribal TANF Report Form
Tribal TANF Financial Report (ACF-196T)
OMB: 0970-0345
IC ID: 184111
OMB.report
HHS/ACF
OMB 0970-0345
ICR 202212-0970-015
IC 184111
( )
Documents and Forms
Document Name
Document Type
Form 1
ACF-196T Tribal TANF Report Form
Form
ACF_196T_form_instructions_APRIL 2023 renewal_11.15.22.docx
Instruction
ACF_196T_form_instructions_APRIL 2023 renewal_11.15.22.docx
Instruction
1 Expenditure Report 196T
ACF_196T_form - TANF - Non-Substantive Approval_6-24-21_exp date updated 2022.xlsx
Form
1 Expenditure Report 196T
ACF_196T_form - TANF - Non-Substantive Approval_6-24-21_exp date updated 2022.xlsx
Form
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
ACF-196T Tribal TANF Report Form
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
1
Expenditure Report 196T
ACF_196T_form - TANF - Non-Substantive Approval_6-24-21_exp date updated 2022.xlsx
Yes
Yes
Fillable Fileable
Instruction
ACF_196T_form_instructions_APRIL 2023 renewal_11.15.22.docx
Yes
Yes
Paper Only
Federal Enterprise Architecture Business Reference Module
Line of Business:
Community and Social Services
Subfunction:
Social Services
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
51
Number of Respondents for Small Entity:
0
Affected Public:
State, Local, and Tribal Governments
Percentage of Respondents Reporting Electronically:
100 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
204
0
0
-96
0
300
Annual IC Time Burden (Hours)
306
0
0
-144
0
450
Annual IC Cost Burden (Dollars)
0
0
0
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.