Social Services Block Grant Postexpenditure Report

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form 1 Social Services Block Grant Postexpenditure Report	Form	Modified	Available
Form 1 Social Services Block Grant Preexpenditure Report	Form and Instruction	Modified	Available
Attachment B_Instructions for SSBG Reporting Form.doc	Supplementary Document	Uploaded 2011-03-01	Available
SSBG_Supporting_Statement_A_2011_06022011[2].doc	Supporting Statement A	Uploaded 2011-06-06	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
184191	Social Services Block Grant Postexpenditure Report	Form	Modified
10079	Social Services Block Grant Preexpenditure Report	Form and Instruction	Modified

ICR Details

OMB Control No: 0970-0234	ICR Reference No: 201103-0970-003
Status: Historical Active	Previous ICR Reference No: 200803-0970-007
Agency/Subagency: HHS/ACF	Agency Tracking No:
Title: Social Services Block Grant Postexpenditure Report
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 06/27/2011
	Date Received in OIRA: 03/08/2011
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	06/30/2014	36 Months From Approved	07/31/2011
Responses	112	0	112
Time Burden (Hours)	6,272	0	6,216
Cost Burden (Dollars)	0	0	0

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Abstract: According to the annual reporting requirements for SSBG, in the Fed. Reg., Vol. 58, No. 218, on November 15, 1993, States are required to report their annual SSBG expenditures on a standard post-expenditure report. Approval is being sought for an extension for continued use of the post-expenditure report form with no changes. Data collected are analyzed and published in an annual report on SSBG expenditures and recipients produced by the Office of Community Services.

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Authorizing Statute(s): US Code: 42 USC 1397 Name of Law: Social Security Act; Subchapter XX-Block Grants to States for Social Services
  

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:
	75 FR 65352	10/22/2010
30-day Notice:	Federal Register Citation:	Citation Date:
	76 FR 6797	02/08/2011
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 2

table that charts list of burden

IC Title	Form No.	Form Name
Social Services Block Grant Preexpenditure Report	1	Intended Use Estimates
Social Services Block Grant Postexpenditure Report	1	SSBG Reporting Form

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ICR Summary of Burden

table that charts list 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	112	112	0	0	0	0
Annual Time Burden (Hours)	6,272	6,216	0	0	56	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: $228,493

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)? No

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: 03/08/2011

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