Information Collection

ACF-196T Tribal TANF Report Form

IC 184111 under ICR 202212-0970-015 · 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⚠️ Notice: This information collection may be referencing outdated material.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_APRIL 2023 renewal_11.15.22.docx	Instruction
ACF_196T_form_instructions_APRIL 2023 renewal_11.15.22.docx	Instruction
1 Expenditure Report 196T ACF_196T_form - TANF - Non-Substantive Approval_6-24-21_exp date updated 2022.xlsx	Form
1 Expenditure Report 196T ACF_196T_form - TANF - Non-Substantive Approval_6-24-21_exp date updated 2022.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_exp date updated 2022.xlsx		Yes	Yes	Fillable Fileable
Instruction			ACF_196T_form_instructions_APRIL 2023 renewal_11.15.22.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: 51

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	204	-96	300
Annual IC Time Burden (Hours)	306	-144	450
Annual IC Cost Burden (Dollars)	0	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.