QUALITY CONTROL NEGATIVE CASE ACTION WORKSHEET/REVIEW SCHEDULE

ICR 199105-0970-001

OMB: 0970-0006

Federal Form Document

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Document
Name
Status
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ICR Details
0970-0006 199105-0970-001
Historical Active 199102-0970-001
HHS/ACF
QUALITY CONTROL NEGATIVE CASE ACTION WORKSHEET/REVIEW SCHEDULE
No material or nonsubstantive change to a currently approved collection   No
Emergency 05/07/1991
Approved with change 05/07/1991
Retrieve Notice of Action (NOA) 05/07/1991
  Inventory as of this Action Requested Previously Approved
03/31/1994 03/31/1994 03/31/1994
20,057 0 20,057
20,114 0 20,114
0 0 0

THE "QUALITY CONTROL" NEGATIVE CASE ACTION REVIEW IS NEEDED TO PROMOTE THE PROPER STATE ADMINISTRATIO OF "AFDC" AND "ADULT" PROGRAMS BY HELPING TO ASSESS PERFORMANCE IN THE DENIAL OR TERMINATION OF BENEFITS. THE STATE COMPLETES FORM 6401 (WORKSHEET/REVIEW SCHEDULE) FOR EACH CASE IN THE SAMPLE. THE COMPLETED FORM IS RETAINED IN THE STATE OFFICE. AFTER EACH REVIEW PERIOD, THE STATE COMPLETES AND SENDS TO THE FEDERAL AGENCY A SUMMARY

None
None


No

1
IC Title Form No. Form Name
QUALITY CONTROL NEGATIVE CASE ACTION WORKSHEET/REVIEW SCHEDULE

  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 20,057 20,057 0 0 0 0
Annual Time Burden (Hours) 20,114 20,114 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
05/07/1991


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