SSP-MOE Data Report - Part 265

Temporary Assistance for Needy Families (TANF) Data Reporting for Work Participation

Documents and Forms

Document Name Document Type
Form 1 SSP-MOE Data Report - Part 265 Form
ACF-199209 TANFSSP data report instructions - valid thru 2026-10_FINAL - Non sub change 2 _clean.docx Instruction
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

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-199209 TANFSSP data report instructions - valid thru 2026-10_FINAL - Non sub change 2 _clean.docx		Yes	Yes	Printable Only

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 %

	Requested	Previously Approved
Annual Number of Responses for this IC	116	116
Annual IC Time Burden (Hours)	82,824	82,824
Annual IC Cost Burden (Dollars)	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.