Social Services Block Grant (SSBG) Post-Expenditure Report

Forms and Documents

Document Name	Status
Form 1 Post-Expenditure Reporting Form for Pre-Expenditure Data (funding estimates for Intended Use Plan) Form	Modified
Supporting Statement A - SSBG Post Expenditure (0970-0234)_FINAL.docx Supporting Statement A	2020-11-16

IC Document Collections

IC ID	Document Title	Status
184191	Post-Expenditure Reporting Form Instruction	Modified
10079	Post-Expenditure Reporting Form for Pre-Expenditure Data (funding estimates for Intended Use Plan) Form	Modified

ICR Details

OMB Control No: 0970-0234	ICR Reference No: 202011-0970-006
Status: Received in OIRA	Previous ICR Reference No: 201708-0970-005
Agency/Subagency: HHS/ACF	Agency Tracking No: OCS
Title: Social Services Block Grant (SSBG) Post-Expenditure Report
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular	Date Submitted to OIRA: 11/23/2020

	Requested	Previously Approved
Expiration Date	36 Months From Approved	01/31/2021
Responses	112	112
Time Burden (Hours)	6,272	6,272
Cost Burden (Dollars)	0	0

---

Abstract: The Social Services Block Grant (SSBG) Post-Expenditure Report (OMB #0970–0234) was last approved by OMB in 2017 and expires January 31, 2021. ACF is seeking an extension of this information collection without changes. The SSBG program provides funds to States, the District of Columbia, Guam, Puerto Rico, American Samoa, the Virgin Islands, and the Commonwealth of the Northern Mariana Islands (hereinafter referred to as States) to support social services for adults and children in support of five statutory goals (42 U.S.C. §1397). Funds are allocated to the States on the basis of population as block grants for the administration of their social services programs.Within specific legal limitations (42 U.S.C. §1397d), States have substantial discretion in the use of funds and may determine what services will be provided, who will be eligible, and how funds will be distributed among the various services. State or local SSBG agencies (i.e., county, city, and regional offices) may provide the services or purchase them from qualified agencies or organizations. States report recipients of SSBG-funded services as any individuals who receive a service funded, in whole or in part, by SSBG. States are required to report expenditures of SSBG funds using a standard post-expenditure reporting form, which includes an annual total of adults and children served and expenditures in each of 29 service categories. Post-expenditure reporting requirements for SSBG are codified at 45 C.F.R. § 96.74. States must submit their annual Post-Expenditure Report within 6 months of the end of the period covered by the report.

---

Authorizing Statute(s): US Code: 42 USC 1397 Name of Law: Social Security Act; Subchapter XX-Block Grants to States for Social Services
  

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:
	85 FR 57863	09/16/2020
30-day Notice:	Federal Register Citation:	Citation Date:
	85 FR 74344	11/20/2020
Did the Agency receive public comments on this ICR? Yes

---

Number of Information Collection (IC) in this ICR: 2

IC Title	Form No.	Form Name
Post-Expenditure Reporting Form for Pre-Expenditure Data (funding estimates for Intended Use Plan)	1	SSBG Post-Expenditure Reporting Form
Post-Expenditure Reporting Form	1	SSBG Post-Expenditure Reporting Form

---

ICR Summary of Burden

	Total Request	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	112	112	0	0	0	0
Annual Time Burden (Hours)	6,272	6,272	0	0	0	0
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: No

Burden Reduction Due to:

Short Statement:

---

Annual Cost to Federal Government: $211,285

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? No

---

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: 11/23/2020

---