Information Collection

State Improper Authorizations for Payment Report

IC 178916 under ICR 200703-0970-001 · OMB 0970-0319.

Documents and Forms

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Information Collection (IC) Details

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IC Title:	State Improper Authorizations for Payment Report	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 17	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	17	17
Annual IC Time Burden (Hours)	6,358	6,358
Annual IC Cost Burden (Dollars)	209,627	209,627

Documents for IC

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Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.