CARES Act Coronavirus Relief Fund for SLT

Forms and Documents

Document Name	Status
Tribal Affidavit Form and Instruction	Modified
Local Government Certifications Form and Instruction	Unchanged
SLT Recipient Payment Information Form Form and Instruction	Unchanged
1505-0264 Justification of Non-Material Change -Updates to Tribal Information_final.docx Justification for No Material/Nonsubstantive Change	2020-05-14
1505-0264 Justification of Non-Material Change -Payment Form.docx Justification for No Material/Nonsubstantive Change	2020-04-13
1505-0264 CARES Act - Coronavirus Relief Fund_Emergency Memo_4-11-20_Signed.pdf Supplementary Document	2020-04-11
1505-0264 - SLT Information Collection Supporting Statement 4-11-20.docx Supporting Statement A	2020-04-11

IC Document Collections

IC ID	Document Title	Status
241318	Tribal Affidavit Form and Instruction	Modified
241157	Local Government Certifications Form and Instruction	Unchanged
241156	SLT Recipient Payment Information Form Form and Instruction	Unchanged

ICR Details

OMB Control No: 1505-0264	ICR Reference No: 202005-1505-004
Status: Historical Active	Previous ICR Reference No: 202004-1505-003
Agency/Subagency: TREAS/DO	Agency Tracking No:
Title: CARES Act Coronavirus Relief Fund for SLT
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR:  No
Type of Review Request: Emergency	Approval Requested By: 04/12/2020
OIRA Conclusion Action: Approved without change	Conclusion Date: 05/14/2020
	Date Received in OIRA: 05/14/2020
Terms of Clearance: OMB is approving the revision to the existing collection as a non-sub change due to the recent emergency approval of the collection.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	10/31/2020	10/31/2020	10/31/2020
Responses	1,750	0	1,750
Time Burden (Hours)	3,500	0	3,500
Cost Burden (Dollars)	0	0	0

---

Abstract: On March 27, 2020, the President signed the Coronavirus Aid, Relief, and Economic Security Act (CARES Act), Pub. L. No. 116-136. Section 601(a)(1) of the Social Security Act as added by section 5001 of the CARES Act provides $150 billion for the U.S. Department of the Treasury (Treasury) to make payments to States (defined to include the District of Columbia, Puerto Rico, U.S. Virgin Islands, Guam, Northern Mariana Islands, and American Samoa), Tribal governments, and certain eligible local governments with more than 500,000 residents to assist with necessary expenditures incurred due to the Coronavirus Disease 2019 (COVID–19) pandemic. Section 601(b)(1) of the Social Security Act as added by section 5001 of the CARES Act provides that not later than 30 days after March 27, 2020, the Secretary shall pay each State and Tribal government, and eligible local government.

Emergency Justfication: Treasury requires the ability to collect payment information from the recipients in order to expedite payments in order to mitigate the immediate the COVID-19 economic shock on state and local budgets. . Given the short timeframe for implementing the new legislation, Treasury is unable to consult with the public prior to issuing the forms, however the Treasury has ample experience designing other similar forms in a way that is clear and minimizes burden. Treasury requests approval of the submission by April 11, 2020. Given the inability to seek public comment during such a short timeframe, Treasury requests a waiver from the requirement to publish notice in the Federal Register seeking public comment during the period of OMB review.

---

Authorizing Statute(s): PL: Pub.L. 116 - 136 601(b)(1) Name of Law: CARES Act
  

Citations for New Statutory Requirements: None

---

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

---

Federal Register Notices & Comments

Did the Agency receive public comments on this ICR? No

---

Number of Information Collection (IC) in this ICR: 3

IC Title	Form No.	Form Name
Tribal Affidavit	n/a, n/a	Certification for Requested Tribal Data ,   Tribal RFI Worksheet
SLT Recipient Payment Information Form	n/a	Recipient Payment Information Form
Local Government Certifications	n/a	Government Certifications

---

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	1,750	1,750	0	0	0	0
Annual Time Burden (Hours)	3,500	3,500	0	0	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	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: This collection of information is a new statutory requirement and does not reflect a change in any previous burden.

---

Annual Cost to Federal Government: $0

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

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     No

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     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? Yes

---

Common Form ICR:  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:

(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: 05/14/2020

---