Information Collection

Office of Head Start Disaster Recovery Improper Payment Reviews

IC 245964 under ICR 202304-0970-006 · OMB 0970-0558.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0558 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 Office of Head Start Disaster Recovery Improper Payment Reviews	Form
Form 1 Disaster Supplement Payment Management Reconciliation Example Office of Head Start Disaster Recovery Improper Payment Reviews	Form
Attachment B1 2017 disaster recovery funds improper payment reviews notification letter.docx	Instruction
Attachment B1 2017 disaster recovery funds improper payment reviews notification letter.docx	Instruction
Attachment B2 2017 disaster recovery funds improper payment reviews notification letter in Spanish.docx	Instruction
Attachment B2 2017 disaster recovery funds improper payment reviews notification letter in Spanish.docx	Instruction
Attachment C 201819 disaster recovery funds improper payment reviews notification letter.docx	Instruction
Attachment C 201819 disaster recovery funds improper payment reviews notification letter.docx	Instruction
1 Disaster Supplement Payment Management Reconciliation Ex Attachment A Disaster Supplement Payment Management Reconciliation Example.xlsx	Form
1 Disaster Supplement Payment Management Reconciliation Ex Attachment A Disaster Supplement Payment Management Reconciliation Example.xlsx	Form
Submission Template for Monitoring Improper Payment Reviews.docx Submission Form - GenIC Monitoring Activities - OHS Improper Payment Reviews	IC Document
Submission Template for Monitoring Improper Payment Reviews.docx Submission Form - GenIC Monitoring Activities - OHS Improper Payment Reviews	IC Document

IC Title:

Office of Head Start Disaster Recovery Improper Payment Reviews

Agency IC Tracking Number:

IC Status: Unchanged

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	1	Disaster Supplement Payment Management Reconciliation Example	Attachment A Disaster Supplement Payment Management Reconciliation Example.xlsx	Yes	Yes	Fillable Fileable
Instruction			Attachment B1 2017 disaster recovery funds improper payment reviews notification letter.docx	Yes	No	Printable Only
Instruction			Attachment B2 2017 disaster recovery funds improper payment reviews notification letter in Spanish.docx	Yes	No	Printable Only
Instruction			Attachment C 201819 disaster recovery funds improper payment reviews notification letter.docx	Yes	No	Printable Only

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 80

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	80	80
Annual IC Time Burden (Hours)	80	80
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Submission Form - GenIC Monitoring Activities - OHS Improper Payment Reviews	Submission Template for Monitoring Improper Payment Reviews.docx	02/24/2021

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