Reporting System for P.L. 102-477 Demonstration Project

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form IA 7703A Version 1 - Tribal Temporary Assistance for Needy Families (TANF) ACF ¿ 102-477 Financial Report 12g	Form	Modified	Available
Form IA 7702 Version 1 - Statistical Report	Form and Instruction	Modified	Available
Form None. Version 2 - Narrative Report	Form and Instruction	New	Available
Form None. Version 2 - Statistical Report and Instructions	Form and Instruction	New	Available
Form None. Version 2 - Annual Financial Expenditure Report and Instructions	Form and Instruction	New	Available
Form IA 7701 Version 1 - Narrative Report	Form and Instruction	Modified	Available
Form IA 7703 Version 1 - Financial Report	Form and Instruction	Modified	Available
12-12-14.Agency IC Renewal_477 (30-day).pdf	Supplementary Document	Uploaded 2014-12-12	Available
477 Comments and Responses.pdf	Supplementary Document	Uploaded 2014-11-12	Available
9-26-14.Renewal Agency IC_477 Demonstration Project_30days.pdf	Supplementary Document	Uploaded 2014-11-12	Available
2-14-14.NOM and Revision Agency IC_477 Demonstration Project.pdf	Supplementary Document	Uploaded 2014-11-12	Available
1076-0135 - 477 Supporting Statement_FINAL 12-1-14.doc	Supporting Statement A	Uploaded 2014-12-01	Available
PL102-477andAmendments.pdf	Supplementary Document	Uploaded 2006-11-29	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
46488	Version 1 - TANF	Form	Modified	Version 1 - Tribal Temporary Assistance for Needy Families (TANF) ACF ¿ 102-477 Financial Report 12g
46487	Version 1 - Statistical Report	Form and Instruction	Modified	Version 1 - Statistical Report
213829	Version 2 - Narrative Report	Form and Instruction	New	Version 2 - Narrative Report
213828	Version 2 - Statistical Report and Instructions	Form and Instruction	New	Version 2 - Statistical Report and Instructions
213827	Version 2 - Financial Expenditure Report and Instructions	Form and Instruction	New	Version 2 - Annual Financial Expenditure Report and Instructions
194541	Version 1 - Narrative Report	Form and Instruction	Modified	Version 1 - Narrative Report
11505	Version 1 - Financial Report	Form and Instruction	Modified	Version 1 - Financial Report

ICR Details

OMB Control No: 1076-0135	ICR Reference No: 201411-1076-001
Status: Historical Active	Previous ICR Reference No: 201307-1076-001
Agency/Subagency: DOI/BIA	Agency Tracking No:
Title: Reporting System for P.L. 102-477 Demonstration Project
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 02/25/2015
Retrieve Notice of Action (NOA)	Date Received in OIRA: 12/12/2014
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	02/28/2018	36 Months From Approved	01/31/2017
Responses	197	0	171
Time Burden (Hours)	4,730	0	3,566
Cost Burden (Dollars)	320	0	310

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Abstract: The information collection is needed to document satisfactory compliance with statutory requirements of the various integrated programs. P.L. 102-477 authorizes tribal governments to integrate federally funded programs into a single coordinated comprehensive service delivery plan. Funding agencies include the Department of the Interior, Department of Labor, and Department of Health and Human Services. The Bureau of Indian Affairs is statutorily requested to serve as the lead agency. Section 11 of this Act requires that Interior make available a single universal report format which shall be used by tribes.

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Authorizing Statute(s): PL: Pub.L. 102 - 477 3 et seq Name of Law: Indian Employment, Training and Related Services Demonstration Act of 1992
  

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:
	79 FR 8985	02/14/2014
30-day Notice:	Federal Register Citation:	Citation Date:
	79 FR 73898	12/12/2014
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 7

table that charts list of burden

IC Title	Form No.	Form Name
Version 1 - Financial Report	IA 7703	Version 1 - Financial Report
Version 1 - Narrative Report	IA 7701	Version 1 - Narrative Report
Version 1 - Statistical Report	IA 7702	Version 1 - Statistical Report
Version 1 - TANF	IA 7703A	Version 1 - Tribal Temporary Assistance for Needy Families (TANF) ACF ¿ 102-477 Financial Report 12g
Version 2 - Financial Expenditure Report and Instructions	None.	Version 2 - Annual Financial Expenditure Report and Instructions
Version 2 - Narrative Report	None.	Version 2 - Narrative Report
Version 2 - Statistical Report and Instructions	None.	Version 2 - Statistical Report and Instructions

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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	197	171	0	126	-100	0
Annual Time Burden (Hours)	4,730	3,566	0	3,444	-2,280	0
Annual Cost Burden (Dollars)	320	310	0	210	-200	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: The program made changes to the information collection reporting forms. In addition to keeping the currently approved forms (as Version 1), we are including a new version of the reporting forms (Version 2) and adding a new guidance document. This change makes adjustments to the hour and cost burden, increasing the hourly burden from 3,628 to 4,730 hours. The BIA, in conjunction with the partnering Federal agencies, will conduct training and provide technical assistance on the new reporting forms, and we anticipate as tribes become more familiar with the new reporting forms, the hourly burden will decrease.

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Annual Cost to Federal Government: $6,137

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: 12/12/2014

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