How TANF Agencies Support Families Experiencing Homelessness

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Attachment F_Accompanying Communications for Site Visit Focus Group Guide.docx	Supplementary Document	Uploaded 2018-09-17	Available
Attachment E_TANF Homeless Web Survey Accompanying Communications 5.1.18.docx	Supplementary Document	Uploaded 2018-09-17	Available
TANF Homeless SS B 2.27.19 clean.doc	Supporting Statement B	Uploaded 2019-02-28	Available
TANF Homeless SS A 2.27.19 clean.doc	Supporting Statement A	Uploaded 2019-02-28	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
233050	Attachment D_Site Visit Focus Group Guide_5-1-18	Other-Site Visit Focus Group Guide	New
233049	Attachment C_Partner Site Visit Discussion Guides 5.1.18	Other-Partner Site Visit Discussion Guides	New
233048	Attachment B_TANF Program Site Visit Discussion Guide 5.1.18	Other-TANF Program Site Visit Discussion Guide	New
233047	Attachment A: TANF Administrator Web Survey (State and County)	Other-Web Survey	New

ICR Details

OMB Control No: 0970-0524	ICR Reference No: 201809-0970-004
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: HHS/ACF	Agency Tracking No:
Title: How TANF Agencies Support Families Experiencing Homelessness
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 03/01/2019
	Date Received in OIRA: 09/18/2018
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	03/31/2022	36 Months From Approved
Responses	100	0	0
Time Burden (Hours)	83	0	0
Cost Burden (Dollars)	0	0	0

---

Abstract: The Administration for Children and Families (ACF) at the U.S. Department of Health and Human Services (HHS) seeks approval for data collection activities for a descriptive study aimed at understanding how the Temporary Assistance for Needy Families (TANF) program is assisting families who are currently or at-risk of experiencing homelessness.

---

Authorizing Statute(s): PL: Pub.L. 115 - 31 413 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:
	83 FR 22982	05/17/2018
30-day Notice:	Federal Register Citation:	Citation Date:
	83 FR 46954	09/17/2018
Did the Agency receive public comments on this ICR? No

---

Number of Information Collection (IC) in this ICR: 4

table that charts list of burden

IC Title	Form No.	Form Name
Attachment B_TANF Program Site Visit Discussion Guide 5.1.18
Attachment C_Partner Site Visit Discussion Guides 5.1.18
Attachment A: TANF Administrator Web Survey (State and County)
Attachment D_Site Visit Focus Group Guide_5-1-18

---

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	100	0	0	100	0	0
Annual Time Burden (Hours)	83	0	0	83	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: No

Burden Reduction Due to:

Short Statement: This is a new data collection.

---

Annual Cost to Federal Government: $47,357

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

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.     Yes

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: 09/18/2018

---