Information Collection

ACF-196T Tribal TANF Report Form

IC 184111 under ICR 200803-0970-005 · OMB 0970-0345.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0345 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
ACF 196T form Instructions 11 09 07.doc	Instruction
ACF-196T ACF-196T ACF 196T form.xls	Form

IC Title:

ACF-196T Tribal TANF Report Form

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Instruction			ACF 196T form Instructions 11 09 07.doc		No	No	Paper Only
Form	ACF-196T	ACF-196T	ACF 196T form.xls		No	No	Paper Only

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 56

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	224	224
Annual IC Time Burden (Hours)	336	336
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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.