Tribal Budget and Narrative Justification Template

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form 1 - Word Tribal Budget and Narrative Justification Template - Word	Form	Modified	Available
Form 1 - Excel Version Tribal Budget and Narrative Justification Template - Excel	Form	Modified	Repair queued
OCSS NonSub Change Request Template FINAL_6.7.23.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2023-06-07	Repair queued
Tribal Budget Regulation 309.130.docx	Supplementary Document	Uploaded 2020-05-04	Repair queued
Budget Templates Supporting Statement A_OCSS name update_6.7.23_clean.docx	Supporting Statement A	Uploaded 2023-06-07	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
241682	Tribal Budget and Narrative Justification – Word	Form	Modified	Tribal Budget and Narrative Justification Template - Word
241681	Tribal Budget and Narrative Justification – Excel	Form	Modified	Tribal Budget and Narrative Justification Template - Excel

ICR Details

OMB Control No: 0970-0548	ICR Reference No: 202306-0970-004
Status: Historical Active	Previous ICR Reference No: 202304-0970-010
Agency/Subagency: HHS/ACF	Agency Tracking No: OCSE
Title: Tribal Budget and Narrative Justification Template
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: 06/07/2023
Retrieve Notice of Action (NOA)	Date Received in OIRA: 06/07/2023
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	05/31/2026	05/31/2026	05/31/2026
Responses	60	0	60
Time Burden (Hours)	992	0	992
Cost Burden (Dollars)	0	0	0

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Abstract: To receive child support funding under 42 U.S.C. 655(f) and 45 CFR Part 309, tribes and tribal organizations must submit the financial forms described in 45 CFR 309.130(b) and other forms as the Secretary may designate, due no later than August 1 annually. The optional Tribal Budget and Narrative Justification Template helps to improve efficiency and establish uniformity and consistency in the annual budget preparation, submission, and review processes. Tribes use the Excel or Word version of the template to prepare and submit the required financial information. On June 5, 2023, the Federal Register published the Office of Child Support Enforcement’s (OCSE) name change to Office of Child Support Services (OCSS) (See 88 FR 36587). We would like these forms to reflect that change. These templates mention OCSE several times. We have changed these references from OCSE to OCSS in both the Word and Excel templates and request approval of these updated versions at this time.

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Authorizing Statute(s): US Code: 42 USC 655(f) Name of Law: Social Security Act (section IV-D)
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	88 FR 3995	01/23/2023
30-day Notice:	Federal Register Citation:	Citation Date:
	88 FR 26314	04/28/2023
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 2

table that charts list of burden

IC Title	Form No.	Form Name
Tribal Budget and Narrative Justification – Excel	1 - Excel Version	Tribal Budget and Narrative Justification Template - Excel
Tribal Budget and Narrative Justification – Word	1 - Word	Tribal Budget and Narrative Justification Template - Word

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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	60	60	0	0	0	0
Annual Time Burden (Hours)	992	992	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:

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Annual Cost to Federal Government: $12,600

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

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Common Form ICR:  No

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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: 06/07/2023

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