Social Services Block Grant (SSBG) Post-Expenditure Report, Pre-Expenditure and Intended Use Plan

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form 1 Intended Use Plan	Form	New	Available
Form 1 Intended Use Plan	Form	New	Repair queued
Form 1 SSBG Post-Expenditure Reporting Form	Form	New	Available
Form 1 SSBG Post-Expenditure Reporting Form	Form	Unchanged	Available
Form 1 SSBG Post-Expenditure Reporting Form	Form	Modified	Available
Form 1 Pre-Expenditure Report Form	Form	Modified	Repair queued
Supporting Statement A_SSBG_Post Expenditure_Pre Expenditure_IUP_02102021.docx	Supporting Statement A	Uploaded 2021-02-10	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
246254	Intended Use Plan	Form	New	Intended Use Plan
246254	Intended Use Plan	Form	New
246254	Intended Use Plan	Form	New	SSBG Post-Expenditure Reporting Form
184191	Post-Expenditure Reporting Form	Form	Unchanged	SSBG Post-Expenditure Reporting Form
184191	Post-Expenditure Reporting Form	Instruction	Unchanged
10079	Pre-Expenditure Report Form	Form	Modified	SSBG Post-Expenditure Reporting Form
10079	Pre-Expenditure Report Form	Form	Modified

ICR Details

OMB Control No: 0970-0234	ICR Reference No: 202102-0970-005
Status: Historical Active	Previous ICR Reference No: 202011-0970-006
Agency/Subagency: HHS/ACF	Agency Tracking No: OCS
Title: Social Services Block Grant (SSBG) Post-Expenditure Report, Pre-Expenditure and Intended Use Plan
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 05/14/2021
Retrieve Notice of Action (NOA)	Date Received in OIRA: 03/16/2021
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	05/31/2024	36 Months From Approved	01/31/2024
Responses	168	0	112
Time Burden (Hours)	8,512	0	6,272
Cost Burden (Dollars)	0	0	0

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Abstract: The Administration for Children and Families (ACF) is requesting a revision to the Social Services Block Grant (SSBG) Post-Expenditure Report, Pre-Expenditure Report, and Intended Use Plan (OMB #0970-0234), previously titled, “Social Services Block Grant (SSBG) Post-Expenditure Report”). ACF is proposing to expand the information collection to include the collection of states’ Intended Use Plans and retitle the information collection to clarify the role of the Pre-Expenditure Report. An Intended Use plan is a narrative to accompany a state’s pre-expenditure report and allows the ACF Office of Community Services to identify recipients, methods, and categories for state expenditure of SSBG funds. The proposed form will standardize reporting submissions for SSBG, which will increase the efficiency in reporting and assessment for grantees and federal staff.

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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

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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:
	85 FR 79185	12/09/2020
30-day Notice:	Federal Register Citation:	Citation Date:
	86 FR 14432	03/16/2021
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
Intended Use Plan	1, 1	SSBG Post-Expenditure Reporting Form ,   Intended Use Plan
Post-Expenditure Reporting Form	1	SSBG Post-Expenditure Reporting Form
Pre-Expenditure Report Form	1	SSBG Post-Expenditure Reporting Form

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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	168	112	0	56	0	0
Annual Time Burden (Hours)	8,512	6,272	0	2,240	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 request includes the addition of a standard reporting form for states to submit Intended Use Plans and also identifies burden for the pre-expenditure report more clearly in A12. The addition of the Intended Use Plan form and instructions increases burden under OMB #0970-0234.

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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

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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: 03/16/2021

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