Temporary Assistance for Needy Families (TANF) Data Reporting for Work Participation

Forms and Documents

Document Name	Status
Form 1 SSP-MOE Data Report - Part 265 Form	Modified
Form 1 TANF Data Report - Part 265 Form	Modified
Form 1 Work Verification Plan Form and Instruction	Modified
Form ACF-202 Caseload Reduction Documentation Process ACF-202 Form	Modified
Supporting Statement B_TANF Data Reporting_2025.docx Supporting Statement B	2025-11-18
Supporting Statement A_CRC ACF-202_2025_11.18.25.docx Supporting Statement A	2025-11-18

IC Document Collections

IC ID	Document Title	Status
243383	TANF Sampling and Statistical Methods Manual Part 265.5 Other-TANF Sampling and Statistical Methods Manual	Modified
183727	SSP-MOE Data Report - Part 265 Form	Modified
183726	TANF Data Report - Part 265 Form	Modified
183725	Reasonable Cause/Corrective Compliance Documentation Process	Modified
183724	Work Verification Plan Form and Instruction	Modified
183723	Caseload Reduction Documentation Process ACF-202 Form	Modified

ICR Details

OMB Control No: 0970-0338	ICR Reference No: 202511-0970-001
Status: Received in OIRA	Previous ICR Reference No: 202506-0970-003
Agency/Subagency: HHS/ACF	Agency Tracking No: OFA
Title: Temporary Assistance for Needy Families (TANF) Data Reporting for Work Participation
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular	Date Submitted to OIRA: 11/20/2025

	Requested	Previously Approved
Expiration Date	36 Months From Approved	10/31/2026
Responses	525	668
Time Burden (Hours)	546,804	609,144
Cost Burden (Dollars)	0	0

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Abstract: Temporary Assistance for Needy Families (TANF) Data Reporting for Work Participation (formerly titled DRA TANF Final Rule; OMB #0970-0338) includes the TANF work verification procedures, the Caseload Reduction Documentation Process, the Reasonable Cause/Corrective Compliance Documentation Process, the TANF Data Report, the Separate State Programs - Maintenance of Effort (SSP-MOE) Data Report and TANF Sampling and Statistical Methods. We are requesting a three-year extension for the information collections approved under this OMB number. We are proposing to continue the same information collections with no changes, with the exception of the ACF-202: Caseload Reduction Report for which we are proposing substantive changes to the instructions and form.

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Authorizing Statute(s): US Code: 42 USC 601, 607, 609, 611, 613, 1302 Name of Law: Block Grants to States for Temporary Assistance for Needy Families
  

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:
	90 FR 39193	08/14/2025
30-day Notice:	Federal Register Citation:	Citation Date:
	90 FR 52409	11/20/2025
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 6

IC Title	Form No.	Form Name
Caseload Reduction Documentation Process ACF-202	ACF-202, ACF-202	Case Load Reduction Form Part I ,   Case Load Reduction Form Part I
Reasonable Cause/Corrective Compliance Documentation Process
SSP-MOE Data Report - Part 265	1	SSP-MOE Data Report Form - Part 265
TANF Data Report - Part 265	1	TANF Data Report Part 265
TANF Sampling and Statistical Methods Manual Part 265.5
Work Verification Plan	1	Work Verification Plan Guidance

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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	525	668	0	-143	0	0
Annual Time Burden (Hours)	546,804	609,144	0	-62,340	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: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: Reporting requirements have not changed since the last renewal of this information collection in 2023. However, estimates of burden have been adjusted to reflect that states spend less time on revisions than initial submissions, and that not all states submit each form each year.

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Annual Cost to Federal Government: $1,080,000

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

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.     Yes

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.     Yes

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

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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: 11/20/2025

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