TANF Quarterly Financial Report, ACF-196R

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form 196R ACF-196R	Form	Modified	Available
Form ACF-196R Social Security Act Attachment.docx	Supplementary Document	Uploaded 2017-10-17	Available
Form ACF-196R Instructions Draft July 2017.doc	Supplementary Document	Uploaded 2017-10-17	Available
Form ACF-196R Supporting Statement July 2017 Rev'd Dec 2017.doc	Supporting Statement A	Uploaded 2017-12-28	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
210064	ACF-196R	Form	Modified

ICR Details

OMB Control No: 0970-0446	ICR Reference No: 201710-0970-008
Status: Active	Previous ICR Reference No: 201401-0970-002
Agency/Subagency: HHS/ACF	Agency Tracking No: 21323
Title: TANF Quarterly Financial Report, ACF-196R
Type of Information Collection: Reinstatement without change of a previously approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 02/05/2018
	Date Received in OIRA: 10/17/2017
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	02/28/2021	36 Months From Approved
Responses	204	0	0
Time Burden (Hours)	2,856	0	0
Cost Burden (Dollars)	0	0	0

---

Abstract: Form ACF-196R is used by States administering the Temporary Assistance for Needy Families (TANF) program to report quarterly expenditure data and to request quarterly grant funds. Failure to collect the data would seriously compromise the Office of Family Assistance (OFA) and the Administration for Children and Families’ (ACF) ability to monitor TANF expenditures and compliance with statutory requirements. These data are also needed to estimate outlays and to prepare reports and budget submissions for Congress. Authority to require financial reports is contained in section 402 of the Social Security Act, with additional statutory citations included at sections 401(c)(1), 409 (a)(7) and 409 (a)(1). Regulatory citations include 45 CFR Parts 265.3 through 265.9. This form was introduced in FY 2015 and required States to report quarterly expenditures in the quarter in which the expenditure occurred. The ability to properly track these expenditures remains particularly critical for a program that involves over $17 billion in Federal funds.

---

Authorizing Statute(s): US Code: 42 USC 411 Name of Law: Social Security Act
  

Citations for New Statutory Requirements: None

---

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	82 FR 24715	05/30/2017
30-day Notice:	Federal Register Citation:	Citation Date:
	82 FR 48233	10/17/2017
Did the Agency receive public comments on this ICR? No

---

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

table that charts list of burden

IC Title	Form No.	Form Name
ACF-196R	196R	Quarterly Financial Report

---

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	204	0	0	0	0	204
Annual Time Burden (Hours)	2,856	0	0	-3,672	0	6,528
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: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: This reporting form was first developed in 2014 and first used in FY 2015. Grantees, initially not familiar with the new report, have since acclimated to these new requirements and have reduced the burden hours required for completion. In addition, the Federal cost burden was initially over estimated, but has since been reduced and refined to a more reasonable amount.

---

Annual Cost to Federal Government: $14,108

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     No

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     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

---

Common Form ICR:  No

---

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: 10/17/2017

---