Temporary Assistance for Needy Families Program

Program Instruction

U.S. Department of Health and Human Services
Administration for Children and Families
Office of Family Assistance
Washington, DC 20447

State Agencies Administering the Temporary Assistance for Needy Families program, Under Title IV of the Social Security Act, As Amended, and Other Interested Parties.

SUBJECT:

Approved Form ACF-196, a Financial Reporting Form for the Temporary Assistance for Needy Families (TANF) Program.

Title IV-A of the Social Security Act, as amended by the Personal Responsibility and Work Opportunity Reconciliation Act of 1996 (PRWORA), Public Law 104-193, and the Balanced Budget Act of 1997, Public Law 105-33.

This Program Instruction informs States of the approval of Form ACF-196 by the Office of Management and Budget (OMB). Approved under OMB #0970-0247.

On April 7, 2003 the Office of Management and Budget approved the use of the ACF-196, effective immediately.

States are requested to photocopy sufficient copies of the form and instructions included as attachments to this PI to meet their reporting requirements.

The reports for must be received by ACF within 45 days after the end of each fiscal year quarter. Therefore, Form ACF-196 must be submitted by November 14, February 14, May 15, and August 14.

One copy with an original signature should be submitted to:

Administration for Children and Families
Office of Administration
Office of Grants Management
Division of Mandatory Grants
370 L'Enfant Promenade, S.W.
Washington, D.C. 20447
Attention: Peter Thompson

A copy should also be submitted to the appropriate ACF Regional Administrator.