This form is used by States to
facilitate the reporting of expenditures for the Temporary
Assistance for Needy Families. State agencies will use this form to
report data on a quarterly basis. The form provides specific data
regarding financial disbursements, obligations, and estimates. It
provides States with a mechanism to request grant awards and
certify the availability of State matching funds. Failure to
collect this data would seriously compromise the Administration for
Children and Families' ability to monitor expenditures. This form
may also be used to prepare ACF budget submissions to
Congress.
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:
(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;
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.