Information Collection

ACF – 196P, TANF Pandemic Emergency Assistance Fund (PEAF) Financial Report for States, Territories and Tribes

IC 249460 under ICR 202109-0970-009 · OMB 0970-0510.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0510 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form ACF-196P ACF – 196P, TANF Pandemic Emergency Assistance Fund (PEAF) Financial Report for States, Territories and Tribes	Form
ACF_196P_Instructions_August 2021.docx	Instruction
ACF-196P TANF Pandemic Emergency Assistance Fund (PEAF) Financial ACF_196P_Report Template _August 2021.xlsx	Form
TANF ACF 196P - Mandatory Grant Submission Template 2021_9.23.21.docx GenIC Submission Template Mandatory Grant Financial Forms - TANF ACF 196P	IC Document

IC Title:

ACF â 196P, TANF Pandemic Emergency Assistance Fund (PEAF) Financial Report for States, Territories and Tribes

Agency IC Tracking Number:

OFA/OGM

IC Status: New

Obligation to Respond: Mandatory

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	ACF-196P	TANF Pandemic Emergency Assistance Fund (PEAF) Financial Report for States, Territories and Tribes	ACF_196P_Report Template _August 2021.xlsx		Yes	Yes	Fillable Fileable
Instruction			ACF_196P_Instructions_August 2021.docx		Yes	Yes	Printable Only

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 137

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	137	137
Annual IC Time Burden (Hours)	822	822
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
GenIC Submission Template Mandatory Grant Financial Forms - TANF ACF 196P	TANF ACF 196P - Mandatory Grant Submission Template 2021_9.23.21.docx	09/23/2021

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.