Plan for Foster Care and Adoption Assistance—Title IV–E

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
ACF Response 30-day comment - Plan for Foster Care Title IV-E820cbpolicy821.docx	Supplementary Document	Uploaded 2025-08-22	Available
DHS Comments Title IV-E Revisions - 30-day comment.pdf	Public Comments	Uploaded 2025-08-08	Available
Supporting statement A IVEplan_Extension_0970-0433_7125finalRev.docx	Supporting Statement A	Uploaded 2025-07-02	Available
Supporting statement A IVEplan_Extension_0970-0433_7125finalRev.docx	Supporting Statement A	Uploaded 2025-07-02	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
238002	Title IV-E Kinship Navigator Program Attachment	Instruction	Modified
238001	Title IV-E Prevention Services Plan	Instruction	Modified
10180	Title IV-E Plan	Instruction	Modified

ICR Details

OMB Control No: 0970-0433	ICR Reference No: 202507-0970-005
Status: Active	Previous ICR Reference No: 202205-0970-006
Agency/Subagency: HHS/ACF	Agency Tracking No: CB
Title: Plan for Foster Care and Adoption Assistance—Title IV–E
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: 08/22/2025
Retrieve Notice of Action (NOA)	Date Received in OIRA: 07/10/2025
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	08/31/2028	36 Months From Approved	08/31/2025
Responses	39	0	44
Time Burden (Hours)	373	0	347
Cost Burden (Dollars)	0	0	0

---

Abstract: Section 471 under title IV-E of the Social Security Act (the Act) authorizes collection of information through the title IV-E plan (Plan for Foster Care and Adoption Assistance). A title IV–E plan is required from each state, territorial and tribal child welfare agency requesting Federal funding for the title IV-E foster care, adoption assistance and as well as for the optional guardianship assistance, kinship navigator and prevention services programs. Section 479B of the Act provides for an Indian tribe, tribal organization or tribal consortium (tribe) to operate a title IV–E program in the same manner as a state with minimal exceptions. The tribe must have an approved title IV–E Plan. The plan also includes information required for participation in the optional programs authorized by Public Law 115–123, the Family First Prevention Services Act (FFPSA). The FFPSA authorized optional title IV–E funding for time-limited (one year) prevention services for mental health/substance abuse and in-home parent skill-based programs for: (1) A child who is a candidate for foster care (as defined in section 475(13) of the Act), (2) pregnant/parenting foster youth, and (3) the parents/kin caregivers of those children and youth (sections 471(e), 474(a)(6), and 475(13) of the Act). A state or tribal title IV–E agency electing to participate in the program must submit a five-year title IV–E prevention program plan that meets the statutory requirements. See Program Instructions ACYF–CB–PI–18–09 and ACYF–CB–PI–18–10 for more information.) The FFPSA also amended Section 474(a)(7) of the Act to reimburse state and tribal IV–E agencies for a portion of the costs of operating kinship navigator programs that meet certain criteria. To qualify for funding under the title IV– E Kinship Navigator program, the program must meet the requirements of a kinship navigator program described in section 427(a)(1) of the Act. The kinship navigator program must also meet practice criteria of promising, supported, or well-supported in accordance with HHS criteria and be approved by HHS (section 471(e)(4)(C) of the Act). To begin participation in the title IV–E Kinship Navigator Program, a title IV–E agency must submit an attachment to its title IV–E plan that specifies the Kinship Navigator model it has chosen to implement, the date on which the provision of program services began or will begin, and that provides an assurance that the model meets the requirements of section 427(a)(1) of the Act as well as a brief narrative describing how the program will be operated. (Please see Program Instruction ACYF–CB–PI–18–11 for additional information.) This request is necessary to extend approval of the title IV-E plan and incorporate necessary changes to reflect recent changes in statutory, regulatory and policy requirements or options and to remove outdated information. Additional information is provided in section A15 of Supporting Statement A.

---

Authorizing Statute(s): PL: Pub.L. 115 - 123 50711 and 50713 Name of Law: Family First Prevention Services Act (FFPSA) - Title IV
   US Code: 42 USC 427, 471, 474, 475 479 Name of Law: Social Security Act (title IV-E)
  

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:
	90 FR 19206	05/06/2025
30-day Notice:	Federal Register Citation:	Citation Date:
	90 FR 30232	07/09/2025
Did the Agency receive public comments on this ICR? No

---

Number of Information Collection (IC) in this ICR: 3

table that charts list of burden

IC Title	Form No.	Form Name
Title IV-E Kinship Navigator Program Attachment
Title IV-E Plan
Title IV-E Prevention Services Plan

---

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	39	44	0	-5	0	0
Annual Time Burden (Hours)	373	347	0	26	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: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: CB is requesting an extension with minor revisions to reflect recent changes in statutory, regulatory and policy requirements or options and to remove outdated information. All revisions in policy and requirements have been communicated to title IV–E agencies through prior policy issuances. The estimated time per response has not changed, but the number of respondents has been updated to reflect the current number of title IV-E agencies expected to submit information over the next three years.

---

Annual Cost to Federal Government: $16,525

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: 07/10/2025

---