OMB control number

Local Assistance and Tribal Consistency Fund

OMB 1505-0276 · TREAS/DO.

OMB 1505-0276

Section 605 of the Social Security Act, as added by section 9901 of the American Rescue Plan Act of 2021, established the Local Assistance and Tribal Consistency Fund (the “LATCF”), which appropriates $2 billion in total funding across fiscal years 2022 and 2023 to Treasury to make payments to eligible revenue sharing counties and eligible Tribal governments (collectively, “eligible governments”). Specifically, for each of fiscal years 2022 and 2023, Treasury shall reserve $250 million of the total amount appropriated to allocate and pay to eligible Tribal governments and $750 million of the total amount appropriated to allocate and pay to eligible revenue sharing counties.

The latest form for Local Assistance and Tribal Consistency Fund expires 2026-06-30 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
Obligation and Expenditure Report (for eligible revenue sharing counties) Form and Instruction
Recipient Payment Information Form (for eligible revenue sharing counties) Form and Instruction
Records Retention and Access Requirement (for eligible revenue sharing counties) Form and Instruction
Obligation and Expenditure Report (for Eligible Tribal Governments) Form and Instruction
Certification Regarding Economic Conditions (for Eligible Tribal Governments) Form and Instruction
Recipient Payment Information Form (for Eligible Tribal Governments) Form and Instruction
Records Retention and Access Requirement (for Eligible Tribal Governments) Form and Instruction
1505-0276 Supporting Statement LATCF Renewal 2023-03-31.docx (document unavailable) Supporting Statement A
Obligation and Expenditure Report (for eligible revenue sharing counties) Form and Instruction
Recipient Payment Information Form (for eligible revenue sharing counties) Form and Instruction
Records Retention and Access Requirement (for eligible revenue sharing counties) Form and Instruction
Obligation and Expenditure Report (for Eligible Tribal Governments) Form and Instruction
Certification Regarding Economic Conditions (for Eligible Tribal Governments) Form and Instruction
Recipient Payment Information Form (for Eligible Tribal Governments) Form and Instruction
Records Retention and Access Requirement (for Eligible Tribal Governments) Form and Instruction

All Historical Document Collections

202303-1505-002 Approved without change	Extension without change of a currently approved collection	2023-03-31
202302-1505-001 Approved without change	No material or nonsubstantive change to a currently approved collection	2023-02-03
202209-1505-002 Approved without change	Revision of a currently approved collection	2022-09-22
202206-1505-011 Approved without change	No material or nonsubstantive change to a currently approved collection	2022-06-30
202206-1505-008 Approved without change	New collection (Request for a new OMB Control Number)	2022-06-21

OMB Details

Records Retention and Access Requirement (for Eligible Tribal Governments)

Federal Enterprise Architecture: General Government - Executive Functions

Form N/A

Certifications and Assurances for Eligible Tribal Governments - Local Assistance and Tribal Consistency Fund

Fillable Fileable

Form and instruction

Review document collections for all forms, instructions, and supporting documents - including paper/printable forms.