THE SUPPORTING STATEMENT
Specific Instructions
Please do not remove or alter the headings below
A. Justification
Circumstances Making the Collection of Information Necessary
The Administration for Children and Families (ACF) is authorized to collect and report the information requested under this form by the Block Grants to States Temporary Assistance for Needy Families. Implementing regulations at 45 CFR Part 286.255 (C) for tribes indicates the requirements for financial reports as necessary.
Purpose and Use of the Information Collection
Tribal agencies with approved Tribal plans for implementation of the TANF program report the data on an annual basis. Failure to collect this data would seriously compromise ACF's ability to monitor expenditures.
Use of Improved Information Technology and Burden Reduction
ACF has developed a forms database that allows electronic data entry for the ACF-196T over the internet. In addition, an electronic copy of the ACF-196T form is available via the internet within the Online Data Collection system.
Efforts to Identify Duplication and Use of Similar Information
Information collected in this report is/will not be available through any other Federal source. No similar available information has been identified.
Impact on Small Businesses or Other Small Entities
These forms apply only to Tribal governments. Small businesses are not involved.
Consequences of Collecting the Information Less Frequently
Financial management of the program would be seriously compromised if the expenditure data in the form (ACF-196T) were collected on a less than quarterly basis. Federal policy presumes the strictest controls on funding documentation in support of claims for reimbursement.
Special Circumstances Relating to the Guidelines of 5 CFR 1320.5
No special circumstances are noted for this request for information collection.
Comments in Response to the Federal Register Notice and Efforts to Consult Outside the Agency
The Federal Register Notice soliciting comments on the information collection was published on October 26, 2012. No comments were received to the Federal Notice.
Explanation of Any Payment or Gift to Respondents
No provision for payment or gift to respondents applies to this collection.
Assurance of Confidentiality Provided to Respondents
There are no data collected that require confidentiality.
Justification for Sensitive Questions
Data collected are not of a sensitive nature.
Estimates of Annualized Burden Hours and Costs
Instrument |
Number of Respondents |
Number of Responses per Respondent |
Average Burden Hours per Response |
Total Burden Hours |
ACF-196T Financial Reporting Form for Tribes |
72 |
4 |
1.5 |
432 |
Total of respondents are 72 with a total of 4 responses per response at 1.5 hrs equals a total of 432 burden hours requested. The estimated cost is $7,776
Estimates of Other Total Annual Cost Burden to Respondents and Record Keepers
No additional costs should be associated with this collection that is not contained in questions 12 and 14.
Annualized Cost to the Federal Government
The estimated costs to the Federal Government includes the initial electronic publication and database mapping for retention of information and submission which costs are estimated at approximately $19,500 (or $6,500 per year x three years). Approximately 75% of tribal participants submit the electronic version while approximately 25% submit paper versions. The cost to process a paper version is estimated to use 1.5 hours of professional staff time at $25 per hour (.25*288*1.5*$25=$4,050) is approximately $4,050. While the cost to process electronic version is approximately 1/2 hour of professional staff time (.75*432*1/2*25=$4,050) is also $4,050. The estimated total annual cost to the Federal government is $27,600.
Explanation for Program Changes or Adjustments
There are no changes to the form or instructions however the estimates for total burden hours have been adjusted due to change in population. The previous form was used by 56 respondents and now the number of respondents is 72. Although the same amount of time is required because the number of respondents has increased so will the burden hours.
Plans for Tabulation and Publication and Project Time Schedule
There is no plan to publish information collected as a result of this form.
Reason(s) Display of OMB Expiration Date is Inappropriate
We will display the expiration date on the form.
Exceptions to Certification for Paperwork Reduction Act Submissions
We are not aware of any exceptions to the certification statement identified on Item 19.
B. Statistical Methods (used for collection of information employing statistical methods)
Statistical methods are not included in this collection of information.
| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
| Author | DHHS |
| File Modified | 0000-00-00 |
| File Created | 2021-01-29 |