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Acf-196r
TANF Expenditure Report – ACF 196R
OMB: 0970-0446
IC ID: 210064
OMB.report
HHS/ACF
OMB 0970-0446
ICR 202312-0970-010
IC 210064
( )
Documents and Forms
Document Name
Document Type
Form 196R
ACF-196R
Form
ACF_196R_Instructions_FINAL Feb 2024 _ Clean Version.docx
Instruction
ACF_196R_Instructions_FINAL Feb 2024 _ Clean Version.docx
Instruction
196R ACF-196R Form
ACF_196R_form - TANF - Feb 2024.xlsx
Form
196R ACF-196R Form
ACF_196R_form - TANF - Feb 2024.xlsx
Form
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
ACF-196R
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Required to Obtain or Retain Benefits
CFR Citation:
45 CFR 265
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form
196R
ACF-196R Form
ACF_196R_form - TANF - Feb 2024.xlsx
Yes
Yes
Fillable Fileable
Instruction
ACF_196R_Instructions_FINAL Feb 2024 _ Clean Version.docx
Yes
No
Fillable Printable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Community and Social Services
Subfunction:
Social Services
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
51
Number of Respondents for Small Entity:
0
Affected Public:
State, Local, and Tribal Governments
Percentage of Respondents Reporting Electronically:
100 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
204
0
0
0
0
204
Annual IC Time Burden (Hours)
2,856
0
0
0
0
2,856
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
No associated records found
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.