Form OFA-200 TANF Emergency Fund Subsidized Employment Report

					OMB No.
					Expiration Date:
Form OFA 200 - TANF Emergency Fund Subsidized Employment Report
Jurisdiction:				Date Completed:
	FY 2010
	Quarter 3			Quarter 4
	April	May	June	July	August	September
# of Subsidized Job Placements
Instructions:
Enter the number of individuals in subsidized employment for each month funded in whole or part by the TANF Emergency Fund or that were included in the calculation of a TANF Emergency Fund award.
The definition of subsidized employment used for this collection is the same as the definition for the TANF program in general, given in 45 CFR 261.2(c) and (d).
(c) Subsidized private sector employment means employment in the private sector for which the employer receives a subsidy from TANF or other public funds to offset some or all of the wages and costs of employing an individual.
(d) Subsidized public sector employment means employment in the public sector for which the employer receives a subsidy from TANF or other public funds to offset some or all of the wages and costs of employing an individual.
Responses to this request for information are voluntary.
Submittal Procedure:
Submit completed data reports electronically to:
	TANFEmergencyFund@acf.hhs.gov
Submission Dates:
Data is to be reported 45 days after the end of each quarter. Data reported in prior quarterly submissions can be amended in subsequent quarterly submissions. Quarterly reports should be submitted as follows:
		Quarter 3 (Apr. – Jun.): Report by August 14
		Quarter 4 (Jul. – Sep.): Report by November 14
The Paperwork Reduction Act of 1995
Public reporting burden for this collection of information is estimated to average 24 hours per response, including the time for reviewing instructions, gathering and maintaining the data needed, and reviewing the collection of information. An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB control number.