ACF – 196P, TANF Pandemic Emergency Assistance Fund (PEAF) Financial Report for States, Territories and Tribes

Generic Clearance for Financial Reports used for ACF Mandatory Grant Programs

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0510 can be found here:

Documents and Forms

Document Name Document Type
Form ACF-196P ACF – 196P, TANF Pandemic Emergency Assistance Fund (PEAF) Financial Report for States, Territories and Tribes Form
ACF_196P_Instructions_August 2021.docx Instruction
ACF_196P_Instructions_August 2021.docx Instruction
ACF-196P TANF Pandemic Emergency Assistance Fund (PEAF) Financial ACF_196P_Report Template _August 2021.xlsx Form
ACF-196P TANF Pandemic Emergency Assistance Fund (PEAF) Financial ACF_196P_Report Template _August 2021.xlsx Form
TANF ACF 196P - Mandatory Grant Submission Template 2021_9.23.21.docx GenIC Submission Template Mandatory Grant Financial Forms - TANF ACF 196P IC Document
TANF ACF 196P - Mandatory Grant Submission Template 2021_9.23.21.docx GenIC Submission Template Mandatory Grant Financial Forms - TANF ACF 196P IC Document

Information Collection (IC) Details

IC Title:	ACF – 196P, TANF Pandemic Emergency Assistance Fund (PEAF) Financial Report for States, Territories and Tribes	Agency IC Tracking Number:	OFA/OGM

IC Status: Unchanged

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	ACF-196P	TANF Pandemic Emergency Assistance Fund (PEAF) Financial Report for States, Territories and Tribes	ACF_196P_Report Template _August 2021.xlsx		Yes	Yes	Fillable Fileable
Instruction			ACF_196P_Instructions_August 2021.docx		Yes	Yes	Printable Only

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 137	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 0 %

	Requested	Previously Approved
Annual Number of Responses for this IC	137	137
Annual IC Time Burden (Hours)	822	822
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
GenIC Submission Template Mandatory Grant Financial Forms - TANF ACF 196P	TANF ACF 196P - Mandatory Grant Submission Template 2021_9.23.21.docx	09/23/2021

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.