Generic Clearance for Financial Reports used for ACF Mandatory Grant Programs

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form 396 OCSE-396	Form	Unchanged	Available
Form 34 OCSE-34	Form	Unchanged	Available
Form 34 Child Support Enforcement Program Financial Reporting Forms (OCSE-34 and OCSE-396)	Form	Unchanged	Repair queued
Form ACF 696T ACF 696T	Form	Unchanged	Available
Form ACF 696T Child Care and Development Fund (CCDF) ACF-696T Financial Report for Tribal Grantees	Form	Unchanged	Available
Form ACF-696 CCDF ACF-696 Financial Report	Form	Modified	Available
Form ACF-696 Child Care and Development Fund (CCDF) ACF-696 Financial Report for States and Territories	Form	Modified	Repair queued
Form CB-496 Title IV-E Programs Quarterly Financial Report	Form	Unchanged	Available
Form CB-496 Form CB-496: Title IV-E Programs Quarterly Financial Report	Form	Unchanged	Repair queued
ACF-696 ARP Act Updates NonSubstantive Change Request_Final_8.3.21.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2021-08-03	Repair queued
Mandatory Grant Submission Template 2021_5.20.21_final.docx	Supplementary Document	Uploaded 2021-06-02	Repair queued
SSA - Financial Rpts Mandatory Grants_0970-0510_Extension 2021_5.20.21_final.docx	Supporting Statement A	Uploaded 2021-06-02	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
246235	Child Support Enforcement Program Financial Reporting Forms (OCSE-34 and OCSE-396)	Form	Unchanged	OCSE-396
246235	Child Support Enforcement Program Financial Reporting Forms (OCSE-34 and OCSE-396)	Form	Unchanged	OCSE-34
246235	Child Support Enforcement Program Financial Reporting Forms (OCSE-34 and OCSE-396)	Form	Unchanged
246235	Child Support Enforcement Program Financial Reporting Forms (OCSE-34 and OCSE-396)	Instruction	Unchanged
246234	Child Care and Development Fund (CCDF) ACF-696T Financial Report for Tribal Grantees	Form	Unchanged	ACF 696T
246234	Child Care and Development Fund (CCDF) ACF-696T Financial Report for Tribal Grantees	Form	Unchanged
246234	Child Care and Development Fund (CCDF) ACF-696T Financial Report for Tribal Grantees	Instruction	Unchanged
246233	Child Care and Development Fund (CCDF) ACF-696 Financial Report for States and Territories	Form	Modified	CCDF ACF-696 Financial Report
246233	Child Care and Development Fund (CCDF) ACF-696 Financial Report for States and Territories	Form	Modified
246233	Child Care and Development Fund (CCDF) ACF-696 Financial Report for States and Territories	Instruction	Modified
246232	Form CB-496: Title IV-E Programs Quarterly Financial Report	Form	Unchanged	Title IV-E Programs Quarterly Financial Report
246232	Form CB-496: Title IV-E Programs Quarterly Financial Report	Form	Unchanged
246232	Form CB-496: Title IV-E Programs Quarterly Financial Report	Instruction	Unchanged

ICR Details

OMB Control No: 0970-0510	ICR Reference No: 202108-0970-002
Status: Historical Active	Previous ICR Reference No: 202103-0970-006
Agency/Subagency: HHS/ACF	Agency Tracking No:
Title: Generic Clearance for Financial Reports used for ACF Mandatory Grant Programs
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: 08/06/2021
Retrieve Notice of Action (NOA)	Date Received in OIRA: 08/03/2021
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	06/30/2024	06/30/2024	06/30/2024
Responses	4,185	0	4,185
Time Burden (Hours)	151,941	0	151,941
Cost Burden (Dollars)	0	0	0

---

Abstract: These tailored reports are used to meet the requirement for financial reports used in ACF mandatory grant programs. This request is for an extension with no changes to a previously approved overarching generic clearance. The Supporting Statement has been updated to provide additional detail about the potential generic information collections submitted under this umbrella, but the proposed types of information collections and purpose and use of the collected information has not changed.

---

Authorizing Statute(s): None

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 78135	12/03/2020
30-day Notice:	Federal Register Citation:	Citation Date:
	86 FR 14754	03/18/2021
Did the Agency receive public comments on this ICR? No

---

Number of Information Collection (IC) in this ICR: 4

table that charts list of burden

IC Title	Form No.	Form Name
Child Care and Development Fund (CCDF) ACF-696 Financial Report for States and Territories	ACF-696	CCDF ACF-696 Financial Report
Child Care and Development Fund (CCDF) ACF-696T Financial Report for Tribal Grantees	ACF 696T	ACF 696T
Child Support Enforcement Program Financial Reporting Forms (OCSE-34 and OCSE-396)	34, 396	OCSE-34 ,   OCSE-396
Form CB-496: Title IV-E Programs Quarterly Financial Report	CB-496	Title IV-E Programs Quarterly Financial Report

---

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	4,185	4,185	0	0	0	0
Annual Time Burden (Hours)	151,941	151,941	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: This request is for an extension with no changes to a previously approved overarching generic clearance. We have updated burden estimates based on the needs over the past three years and also to accurately show total versus annual burden amounts.

---

Annual Cost to Federal Government: $400,000

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: 08/03/2021

---