Generic Clearance for Financial Reports used for ACF Non-Discretionary Grant Programs

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form SF-425 Supplement Refugee Support Services Federal Financial Report (SF-425) Supplemental Data Collection	Form and Instruction	New	Available
Form SF-425 Supplement Refugee Support Services Federal Financial Report (SF-425) Supplemental Data Collection	Form and Instruction	New	Repair queued
Form ORR-2 Supplement Refugee Cash and Medical Assistance Federal Financial Report (ORR-2) Supplemental Data Collection	Form	New	Available
Form ORR-2 Supplement Refugee Cash and Medical Assistance Federal Financial Report (ORR-2) Supplemental Data Collection	Form	New	Repair queued
Form 396 OCSS-396	Form	New	Available
Form 34 OCSS-34	Form	New	Available
Form 34 Child Support Services Program Financial Reporting Forms (OCSS-34 and OCSS-396)	Form	New	Repair queued
Form 496 Form CB-496: Title IV-E Programs Quarterly Financial Report	Form	New	Available
Form 496 Form CB-496: Title IV-E Programs Quarterly Financial Report	Form	New	Repair queued
Form 696T Child Care and Development Fund (CCDF) ACF-696T Financial Report for Tribal Grantees	Form	New	Repair queued
Form 696T Child Care and Development Fund (CCDF) ACF-696T Financial Report for Tribal Grantees	Form	New	Repair queued
Form 696 Child Care and Development Fund (CCDF) ACF-696 Financial Report for States and Territories	Form	New	Available
Form 696 Child Care and Development Fund (CCDF) ACF-696 Financial Report for States and Territories	Form	New	Repair queued
Attachment B - NonDisc Grant GenIC Submission Template 2024.docx	Supplementary Document	Uploaded 2024-05-02	Repair queued
Attachment A - FRN Template - Financial Rpts NonDisc Grant Recipients GenIC.docx	Supplementary Document	Uploaded 2024-05-02	Repair queued
SSA - Financial Rpts NonDisc Grant Recipients_0970-0510_Extension 2024_DRAFT.docx	Supporting Statement A	Uploaded 2024-05-02	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
267421	Refugee Support Services Federal Financial Report (SF-425) Supplemental Data Collection	Form and Instruction	New	Refugee Support Services Federal Financial Report (SF-425) Supplemental Data Collection
267421	Refugee Support Services Federal Financial Report (SF-425) Supplemental Data Collection	Form and Instruction	New
267421	Refugee Support Services Federal Financial Report (SF-425) Supplemental Data Collection	Instruction	New
267397	Refugee Cash and Medical Assistance Federal Financial Report (ORR-2) Supplemental Data Collection	Form	New	Refugee Cash and Medical Assistance Federal Financial Report (ORR-2) Supplemental Data Collection
267397	Refugee Cash and Medical Assistance Federal Financial Report (ORR-2) Supplemental Data Collection	Form	New
267397	Refugee Cash and Medical Assistance Federal Financial Report (ORR-2) Supplemental Data Collection	Instruction	New
267396	Child Support Services Program Financial Reporting Forms (OCSS-34 and OCSS-396)	Form	New	OCSS-396
267396	Child Support Services Program Financial Reporting Forms (OCSS-34 and OCSS-396)	Form	New	OCSS-34
267396	Child Support Services Program Financial Reporting Forms (OCSS-34 and OCSS-396)	Form	New
267396	Child Support Services Program Financial Reporting Forms (OCSS-34 and OCSS-396)	Instruction	New
267382	Form CB-496: Title IV-E Programs Quarterly Financial Report	Form	New	Form CB-496: Title IV-E Programs Quarterly Financial Report
267382	Form CB-496: Title IV-E Programs Quarterly Financial Report	Form	New
267382	Form CB-496: Title IV-E Programs Quarterly Financial Report	Instruction	New
267381	Child Care and Development Fund (CCDF) ACF-696T Financial Report for Tribal Grantees	Form	New	Child Care and Development Fund (CCDF) ACF-696T Financial Report for Tribal Grantees
267381	Child Care and Development Fund (CCDF) ACF-696T Financial Report for Tribal Grantees	Form	New
267381	Child Care and Development Fund (CCDF) ACF-696T Financial Report for Tribal Grantees	Instruction	New
267379	Child Care and Development Fund (CCDF) ACF-696 Financial Report for States and Territories	Form	New	Child Care and Development Fund (CCDF) ACF-696 Financial Report for States and Territories
267379	Child Care and Development Fund (CCDF) ACF-696 Financial Report for States and Territories	Form	New
267379	Child Care and Development Fund (CCDF) ACF-696 Financial Report for States and Territories	Instruction	New

ICR Details

OMB Control No: 0970-0510	ICR Reference No: 202405-0970-002
Status: Historical Active	Previous ICR Reference No: 202308-0970-008
Agency/Subagency: HHS/ACF	Agency Tracking No:
Title: Generic Clearance for Financial Reports used for ACF Non-Discretionary Grant Programs
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 06/28/2024
Retrieve Notice of Action (NOA)	Date Received in OIRA: 05/07/2024
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	06/30/2027	36 Months From Approved	06/30/2024
Responses	4,463	0	4,185
Time Burden (Hours)	160,671	0	151,941
Cost Burden (Dollars)	0	0	0

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Abstract: This request is for a revision to a previously approved overarching generic clearance. The title of the collection has been updated from ACF Mandatory Grant Programs to ACF Non-Discretionary Grant Programs. The proposed types of information collections and purpose and use of the collected information has not changed. This request includes the extension of multiple collections approved under this generic (GenICs) and requests updates to three of these GenICs through this revision process. The Child Care and Development Fund (CCDF) ACF-696 Financial Report for States and Territories and the CCDF ACF-696T Financial Report for Tribal Grantees have been updated to eliminate unused columns and subaccount codes as well as lines that were not funded or were funded once and will be closed. Additionally, the instructions for these forms were updated to reflect changes to the reports and current Office of Child Care and Office of Grants Management policies and program instruction to recipients. The Child Support Services Program Financial Reporting Forms (OCSS-34 and OCSS-396) have been updated to reflect an update to the program office’s name from the Office of Child Support Enforcement to the Office of Child Support Services.

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Authorizing Statute(s): None

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:
	89 FR 4306	01/26/2024
30-day Notice:	Federal Register Citation:	Citation Date:
	89 FR 38156	05/07/2024
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 6

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	696	Child Care and Development Fund (CCDF) ACF-696 Financial Report for States and Territories
Child Care and Development Fund (CCDF) ACF-696T Financial Report for Tribal Grantees	696T	Child Care and Development Fund (CCDF) ACF-696T Financial Report for Tribal Grantees
Child Support Services Program Financial Reporting Forms (OCSS-34 and OCSS-396)	34, 396	OCSS-34 ,   OCSS-396
Form CB-496: Title IV-E Programs Quarterly Financial Report	496	Form CB-496: Title IV-E Programs Quarterly Financial Report
Refugee Cash and Medical Assistance Federal Financial Report (ORR-2) Supplemental Data Collection	ORR-2 Supplement	Refugee Cash and Medical Assistance Federal Financial Report (ORR-2) Supplemental Data Collection
Refugee Support Services Federal Financial Report (SF-425) Supplemental Data Collection	SF-425 Supplement	Refugee Support Services Federal Financial Report (SF-425) Supplemental Data Collection

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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	4,463	4,185	0	278	0	0
Annual Time Burden (Hours)	160,671	151,941	0	8,730	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: This request is for a revision to a previously approved overarching generic clearance. We have updated burden estimates to reflect ongoing data collections that are currently approved. The title of the collection has been updated from ACF Mandatory Grant Programs to ACF Non-Discretionary Grant Programs. This request also includes updates to three of the collections approved under this generic (GenICs): the Child Care and Development Fund (CCDF) ACF-696 Financial Report for States and Territories, the CCDF ACF-696T Financial Report for Tribal Grantees, and the Child Support Services Program Financial Reporting Forms (OCSS-34 and OCSS-396).

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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

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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: 05/07/2024

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