Information Collection

ACF-196T Tribal TANF Report Form

IC 184111 under ICR 202106-0970-006 · OMB 0970-0345.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0345 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 ACF-196T Tribal TANF Report Form	Form
ACF_196T_form_instructions_CLEAN VERSION 6-24-21.docx	Instruction
ACF_196T_form_instructions_CLEAN VERSION 6-24-21.docx	Instruction
1 Expenditure Report 196T ACF_196T_form - TANF - Non-Substantive Approval_6-24-21.xlsx	Form
1 Expenditure Report 196T ACF_196T_form - TANF - Non-Substantive Approval_6-24-21.xlsx	Form

IC Title:

ACF-196T Tribal TANF Report Form

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	1	Expenditure Report 196T	ACF_196T_form - TANF - Non-Substantive Approval_6-24-21.xlsx		Yes	Yes	Fillable Fileable
Instruction			ACF_196T_form_instructions_CLEAN VERSION 6-24-21.docx		Yes	Yes	Paper Only

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 75

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	Previously Approved
Annual Number of Responses for this IC	300	300
Annual IC Time Burden (Hours)	450	450
Annual IC Cost Burden (Dollars)	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.