Reporting System for P.L. 102-477 Demonstration Project

Forms and Documents

Document Name	Status
Form 7703A TANF Form	Modified
Form IA 7702 Statistical Report Form and Instruction	Modified
Form IA 7703 Financial Report Form and Instruction	Modified
30-Day FR Notice.pdf Supplementary Document	2010-09-27
Draft Supporting Statement.091510.doc Supporting Statement A	2010-09-16
05-13-10.PL 477 ICR 60-Day.pdf Supplementary Document	2010-09-13
PL102-477andAmendments.pdf Supplementary Document	2006-11-29

IC Document Collections

IC ID	Document Title	Status
46488	TANF Form	Modified
46487	Statistical Report Form and Instruction	Modified
194541	Narrative Report Instruction	New
11505	Financial Report Form and Instruction	Modified

ICR Details

OMB Control No: 1076-0135	ICR Reference No: 201005-1076-002
Status: Historical Active	Previous ICR Reference No: 200611-1076-004
Agency/Subagency: DOI/BIA	Agency Tracking No:
Title: Reporting System for P.L. 102-477 Demonstration Project
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 12/08/2010
	Date Received in OIRA: 09/27/2010
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	12/31/2013	36 Months From Approved	12/31/2010
Responses	230	0	132
Time Burden (Hours)	3,840	0	3,018
Cost Burden (Dollars)	325	0	255

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Abstract: The information collection is needed to document satisfactory compliance with statutory requirements of the various integrated programs. P.L. 102-477 authorizes tribal governments to integrate federally funded programs into a single coordinated comprehensive service delivery plan. Funding agencies include the Department of the Interior, Department of Labor, and Department of Health and Human Services. The Bureau of Indian Affairs is statutorily requested to serve as the lead agency. Section 11 of this Act requires that Interior make available a single universal report format which shall be used by tribes.

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Authorizing Statute(s): PL: Pub.L. 102 - 477 3 et seq Name of Law: Indian Employment, Training and Related Services Demonstration Act of 1992
  

Citations for New Statutory Requirements: None

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

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	75 FR 26978	05/13/2010
30-day Notice:	Federal Register Citation:	Citation Date:
	75 FR 58423	09/24/2010
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 4

IC Title	Form No.	Form Name
Financial Report	IA 7703	Financial Report
Statistical Report	IA 7702	Statistical Report
TANF	7703A	Tribal Temporary Assistance for Needy Families (TANF) ACF � 102-477 Financial Report 12g
Narrative Report

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ICR Summary 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	230	132	0	0	98	0
Annual Time Burden (Hours)	3,840	3,018	0	0	822	0
Annual Cost Burden (Dollars)	325	255	0	0	70	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: We adjusted the number of respondents upward from 51 to 65 to reflect the actual increase that has occurred over the past three years. We also increased our estimate of those respondents that will complete a TANF from 30 to 35. As such, the total number of responses has increased by 98, and the burden hours have increased by 822 hours due to adjustments. Also, note that we have split the “Statistical Report and Narrative” IC entry into two separate IC entries (for a total of four IC entries in ROCIS).

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Annual Cost to Federal Government: $5,996

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? 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? Uncollected

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Common Form ICR:  No

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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: 09/27/2010

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