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SSP-MOE Data Report - Part 265
Temporary Assistance for Needy Families (TANF) Data Reporting for Work Participation
OMB: 0970-0338
IC ID: 183727
OMB.report
HHS/ACF
OMB 0970-0338
ICR 202312-0970-011
IC 183727
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0338 can be found here:
2024-09-16 - No material or nonsubstantive change to a currently approved collection
Documents and Forms
Document Name
Document Type
Form 1
SSP-MOE Data Report - Part 265
Form
ACF-199&209 TANFSSP data report instructions - valid thru 2026-10_techfixclean.docx
Instruction
ACF-199&209 TANFSSP data report instructions - valid thru 2026-10_techfixclean.docx
Instruction
1 SSP-MOE Data Report Form - Part 265
TANF&SSP_Data_Report_layouts - valid thru 2026-10_techfix_CLEAN.xlsx
Form
1 SSP-MOE Data Report Form - Part 265
TANF&SSP_Data_Report_layouts - valid thru 2026-10_techfix_CLEAN.xlsx
Form
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
SSP-MOE Data Report - Part 265
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
1
SSP-MOE Data Report Form - Part 265
TANF&SSP_Data_Report_layouts - valid thru 2026-10_techfix_CLEAN.xlsx
Yes
Yes
Fillable Fileable
Instruction
ACF-199&209 TANFSSP data report instructions - valid thru 2026-10_techfixclean.docx
Yes
Yes
Printable Only
Federal Enterprise Architecture Business Reference Module
Line of Business:
Community and Social Services
Subfunction:
Social Services
Privacy Act System of Records
Title:
OFA Temporary Assistance for Needy Families (TANF) Data System
FR Citation:
85 FR 6591
Number of Respondents:
29
Number of Respondents for Small Entity:
0
Affected Public:
State, Local, and Tribal Governments
Percentage of Respondents Reporting Electronically:
0 %
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
116
0
0
0
0
116
Annual IC Time Burden (Hours)
82,824
0
0
0
0
82,824
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.