Information Collection

ACF-196: TANF Quarterly Financial Report

IC 10098 under ICR 202001-0970-005 · OMB 0970-0247.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 196 ACF-196: TANF Quarterly Financial Report	Form
Form ACF-196 Instructions FINAL JAN2020_01_21_2020.pdf	Instruction
196 TANF Financial Report ACF-196_ TANF ARRA Financial Report_01_23_2020.pdf	Form

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	196	TANF Financial Report	ACF-196_ TANF ARRA Financial Report_01_23_2020.pdf		Yes	Yes	Fillable Printable
Instruction			Form ACF-196 Instructions FINAL JAN2020_01_21_2020.pdf		Yes	Yes	Fillable Printable

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 5

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	5	-199	204
Annual IC Time Burden (Hours)	25	-2,015	2,040
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.