TANF Office Culture

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Non-Substantive Change Memo_OMB Control # 0970-0520.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2019-02-04	Available
Appendix D_Observation Checklist_11-28-17.docx	Supplementary Document	Uploaded 2018-04-17	Available
Attachment 1 - 60 Day FRN_TANF Off Culture_1.22.2018.pdf	Supplementary Document	Uploaded 2018-04-17	Available
TOC Study Supporting Statement B_Non-Substantive Change Request_clean.docx	Supporting Statement B	Uploaded 2019-02-04	Available
TOC Study Supporting Statement A_Non-Substantive Change Request_clean.docx	Supporting Statement A	Uploaded 2019-02-04	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
231083	Focus Group Interview Guide	Other-Focus Group Guide	Unchanged
231081	Front-line Staff Interview Guide	Other-Interview Guide	Modified
231080	Leadership and Supervisor Interview Guide	Other-Interview Guide	Modified

ICR Details

OMB Control No: 0970-0520	ICR Reference No: 201902-0970-002
Status: Active	Previous ICR Reference No: 201804-0970-004
Agency/Subagency: HHS/ACF	Agency Tracking No:
Title: TANF Office Culture
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 02/13/2019
	Date Received in OIRA: 02/05/2019
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	10/31/2021	10/31/2021	10/31/2021
Responses	45	0	30
Time Burden (Hours)	61	0	43
Cost Burden (Dollars)	0	0	0

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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 study aimed at identifying and describing exemplars of Temporary Assistance for Needy Families (TANF) organizational culture as well as successful strategies human services offices have undertaken to improve their organizational culture. This ICR includes three data collection instruments that will be used as part of the field interviews: (1) Leadership and Supervisor Interview Guide, (2) Front-line Staff Interview Guide, (3) Focus Group Interview Guide. This nonsubstantive change request is to adjust the number of respondents to the interviews as it became apparent that spending an additional one to two days beyond the originally proposed day and a half long site visits to interview more staff would provide a clearer picture of the organizational culture in a subset of those six sites. Respondent numbers and burden have been adjusted to reflect these changes.

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Authorizing Statute(s): PL: Pub.L. 115 - 31 413 Name of Law: Social Security Act, as amended by the FY 2017 Consolidated Appropriations Act, 2017
  

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:
	83 FR 2996	01/22/2018
30-day Notice:	Federal Register Citation:	Citation Date:
	83 FR 17419	04/19/2018
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 3

table that charts list of burden

IC Title	Form No.	Form Name
Leadership and Supervisor Interview Guide
Front-line Staff Interview Guide
Focus Group Interview Guide

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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	45	30	0	15	0	0
Annual Time Burden (Hours)	61	43	0	18	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 a change request to include increase the number of respondents to this information collection.

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Annual Cost to Federal Government: $53,409

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.     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

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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: 02/05/2019

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