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 – Word	Form	Unchanged	Repair queued
Form 1 - Excel Version Tribal Budget and Narrative Justification – Excel	Form	Modified	Available
NonSub Change Request Budget Template 1115 Waivers v4.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2024-07-19	Repair queued
NonSub Change Request for Budget Templates FINAL.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2024-02-12	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	Repair queued

IC Document Collections

Information collection document groups

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

ICR Details

OMB Control No: 0970-0548	ICR Reference No: 202407-0970-007
Status: Received in OIRA	Previous ICR Reference No: 202402-0970-006
Agency/Subagency: HHS/ACF	Agency Tracking No: OCSS
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	Date Submitted to OIRA: 07/22/2024

table that charts list comparision

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

---

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 May 30, 2023, OMB approved the extension of the Tribal Budget Narrative Justification Template (OMB #0970-0548) until May 31, 2026. On February 12, 2024, the Federal Register published the Final Rule for the Elimination of the Non-Federal Share. With the approval of the Final Rule for Elimination of the NFS, tribes no longer qualify for Section 1115 Demonstration Grants. Tribal child support programs can pursue demonstration projects using Section 1115 Waivers to provide a service not ordinarily approved by regulation. As part of their Section 1115 waiver request, tribes must provide a budget describing how they will use the funds. Tribes already must provide an annual budget submission to OCSS for their tribal child support program funds. Most tribes use the Tribal Budget Narrative Justification Template (OMB #0970-0548) in Excel when submitting their annual budget. To reduce the administrative burden for tribes requesting a Section 1115 waiver, OCSS made two small changes to the Excel budget template. The first is to add TAB-5A_1115 WAIVER WORKSHEET where they can include the budget for the waiver. This worksheet is a replica of TAB-5_BUDGET WORKSHEET. The second change is adding lines to each other section headers in TAB-5_BUDGET WORKSHEET that includes the totals from the responding sections from TAB-5A_1115 WAIVER WORKSHEET. This allows the totals from the waiver tab to be included in the annual budget submission totals for a complete award amount.

---

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

Citations for New Statutory Requirements: None

---

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

---

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

---

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, 1 - 1115 Waiver Version	Tribal Budget and Narrative Justification Template - Excel ,   Tribal Budget and Narrative Justification Template - Excel 1115 Waiver Version
Tribal Budget and Narrative Justification – Word	1 - Word	Tribal Budget and Narrative Justification Template - Word

---

ICR Summary of Burden

table that charts list of burden

	Total Request	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:

---

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

---

Common Form ICR:  No

---

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: 07/22/2024

---