Noa - Acf-696

NOTICE OF OFFICE OF MANAGEMENT AND BUDGET ACTION
Date

02/19/2021

Department of Health and Human Services
Administration for Children and Families
FOR CERTIFYING OFFICIAL:

Perryn Ashmore

FOR CLEARANCE OFFICER:

Terry Clark

In accordance with the Paperwork Reduction Act, OMB has taken action on your request received
02/17/2021
ACTION REQUESTED:

No material or nonsubstantive change to a currently approved collection

IC TITLE:
ICR REFERENCE NUMBER:

202102-0970-011

AGENCY ICR TRACKING NUMBER:
TITLE:

Generic Clearance for Financial Reports

LIST OF INFORMATION COLLECTIONS: See next page
OMB ACTION: Approved without change
OMB CONTROL NUMBER:

0970-0510

The agency is required to display the OMB Control Number and inform respondents of its legal significance in
accordance with 5 CFR 1320.5(b).
EXPIRATION DATE: 05/31/2021

BURDEN:

DISCONTINUE DATE:

RESPONSES

HOURS

COSTS

Previous

1,000

40,000

0

New

1,000

40,000

0

Change due to New Statute

0

0

0

Change due to Agency Discretion

0

0

0

Change due to Agency Adjustment

0

0

0

Change due to PRA Violation

0

0

0

Difference

TERMS OF CLEARANCE:

Terms of the previous clearance remain in effect.

OMB Authorizing Official:

Dominic J. Mancini
Deputy and Acting Administrator,
Office Of Information And Regulatory Affairs

IC Title

Form No.

List of ICs
Form Name

CFR Citation

Child Support
34, 396
OCSE-34, OCSE-396
Engorcement Program
Financial Reporting
Forms
CB-496 - Title IV-E
CB-496
CB Financial Report
Programs Quarterly
Financial Report
Child Care and
ACF-696
CCDF ACF-696 Financial
Development Fund
Report for States and
(CCDF) ACF-696
Territories
Financial Report for
States and Territories
Child Care and
ACF-696T
CCDF ACF-696T
Development Fund
Financial Report for Tribal
(CCDF) ACF-696T
Grantees
Financial Report for
Tribal Grantees
Total Hours Actually Used for Information Collections Under Currently Approved ICR:

Hrs/$/Resp
7,680 / 0 / 672

6,700 / 0 / 268
1,344 / 0 / 224

1,547 / 0 / 221

17,271