Information Collection

ACF-196T Tribal TANF Report Form

IC 184111 under ICR 202603-0970-014 · OMB 0970-0345.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 Expenditure Report 196T ACF-196T Tribal TANF Report Form	Form
Form 1 Expenditure Report 196T ACF-196T Tribal TANF Report Form	Form
ACF-196T Instructions_Clean version_final 12.19.25 328pm.docx	Instruction
ACF-196T Instructions_Clean version_final 12.19.25 328pm.docx	Instruction
1 Expenditure Report 196T ACF_196T_form - TANF - March 31 2026 renewal.xlsx	Form
1 Expenditure Report 196T ACF_196T_form - TANF - March 31 2026 renewal.xlsx	Form

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 45 CFR 286.255 (C)

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				Yes	Yes	Fillable Fileable
Instruction					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: 50

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	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	200	-4	204
Annual IC Time Burden (Hours)	200	-106	306
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.

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