Child Care and Development Fund Annual Financial Report for Tribes (CCDF)

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form ACF-196T Child Care and Development Fund Annual Financial Report for Tribes (CCDF)	Form	Removed	Available
Supporting Statement Form ACF-696T SEPT 2016.doc	Supporting Statement A	Uploaded 2016-10-19	Available
Financial Report Form ACF-696T 24Jan13 FINAL-Inst.docx	Supplementary Document	Uploaded 2013-02-01	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
224008	ACF-196T	Instruction	New
10012	Child Care and Development Fund Annual Financial Report for Tribes (CCDF)	Form	Removed

ICR Details

OMB Control No: 0970-0195	ICR Reference No: 201610-0970-011
Status: Historical Active	Previous ICR Reference No: 201302-0970-002
Agency/Subagency: HHS/ACF	Agency Tracking No: OA
Title: Child Care and Development Fund Annual Financial Report for Tribes (CCDF)
Type of Information Collection: Reinstatement with change of a previously approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 02/17/2017
	Date Received in OIRA: 10/20/2016
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	02/29/2020	36 Months From Approved	06/30/2016
Responses	272	0	260
Time Burden (Hours)	1,904	0	1,560
Cost Burden (Dollars)	0	0	0

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Abstract: The (CCDF) annual financial reporting form (ACF-696T) provides a mechanism for Indian Tribes to report expenditures under the CCDF program. The CCDF program provides funds to Tribes, as well as States and Territories, to assist low-income families in obtaining child care so they can work or attend training/education and to imrpove the quality of care. Data collected via the ACF-696T allows the ACF to monitor tribal expenditures. This information collection uses the existing ACF-696T form but proposes some clarifications to the form's instructions. Respondents are CCDF tribal grantees.

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Authorizing Statute(s): US Code: 42 USC 9858 Name of Law: Child Care and Development Block Grant Act
   PL: Pub.L. 111 - 5 604 Name of Law: American Recovery and Reinvestment Act
  

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:
	81 FR 23302	04/20/2016
30-day Notice:	Federal Register Citation:	Citation Date:
	81 FR 70426	10/12/2016
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

table that charts list of burden

IC Title	Form No.	Form Name
Child Care and Development Fund Annual Financial Report for Tribes (CCDF)	ACF-196T	Tribal Financial Report
ACF-196T	ACF-696T	Financial Report

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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	272	260	0	12	0	0
Annual Time Burden (Hours)	1,904	1,560	0	344	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	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: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: Increased use of reporting technology.

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Annual Cost to Federal Government: $49,800

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: 10/20/2016

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