Instructions for Annual Report on State Maintenance-of-Effort Programs: Form ACF-204

ICR 201910-0970-009

OMB: 0970-0248

Federal Form Document

Forms and Documents
IC Document Collections
IC ID
Document
Title
Status
10099 Modified
ICR Details
0970-0248 201910-0970-009
Active 201412-0970-010
HHS/ACF OFA
Instructions for Annual Report on State Maintenance-of-Effort Programs: Form ACF-204
Reinstatement without change of a previously approved collection   No
Regular
Approved with change 11/21/2019
Retrieve Notice of Action (NOA) 10/30/2019
  Inventory as of this Action Requested Previously Approved
11/30/2022 36 Months From Approved
54 0 0
6,372 0 0
0 0 0

The report is used to collect descriptive program characteristics information on the programs operated by States and Territories in association with their Temporary Assistance for Needy Families (TANF) programs. All State and Territory expenditures claimed toward States and Territories Maintenance of Effort (MOE) requirements must be appropriate, i.e., meet all applicable MOE requirements. The Annual MOE Report provides the ability to learn about and to monitor the nature of State and Territory expenditures used to meet States and Territories MOE requirements, and it is an important source of information about the different ways that States and Territories are using their resources to help families attain and maintain self-sufficiency. In addition, the report is used to obtain State and Territory program characteristics for ACFs annual report to Congress, and the report serves as a useful resource to use in Congressional hearings about how TANF programs are evolving, in assessing State and Territory MOE expenditures, and in assessing the need for legislative changes.

US Code: 42 USC 611.f Name of Law: Social Security Act
  
None

Not associated with rulemaking

  84 FR 742 01/31/2019
84 FR 58158 10/30/2019
No

1
IC Title Form No. Form Name
Annual Report on State MOE Programs ACF-204 Annual Report on State MOE Programs

  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 54 0 0 0 0 54
Annual Time Burden (Hours) 6,372 0 0 0 0 6,372
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$17,948
No
    No
    No
No
No
No
Uncollected
Molly Buck 202 205-4724 mary.buck@acf.hhs.gov

  No

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.
10/30/2019


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