Information Collection Request

Child Care Improper Payments Data Collection Instructions

ICR 202501-0970-010 · OMB 0970-0323 · Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form ACF-403 Improper Payment DCI - ACF-403 Record Review Worksheet: case record reviews Form and Instruction New Available
Form ACF-403 ACF-403 Record Review Worksheet: case record reviews (IC-2 - ACF-403) Form and Instruction New Repair queued
Form 1 Improper Payments DCI - Sampling Decisions, Assurances, and Fieldwork Preparation Plan Form and Instruction Modified Available
Form 1 Sampling Decisions, Assurances, and Fieldwork Preparation Plan (IC-1 - SDAP) Form and Instruction Modified Missing upstream
Form ACF 404 ACF-404 State Improper Payments Report - 2025 version Form and Instruction Modified Available
Form ACF-404 ACF-404 State Improper Payments Report - 2026 Version Form and Instruction Modified Available
Form ACF-404 ACF-404 State Improper Payments Report (IC-3 - ACF-404) Form and Instruction Modified Available
Form ACF-405 Improper Payments DCI - ACF-405 State Improper Payments Report Corrective Action Plan Form and Instruction Modified Available
Form ACF-405 ACF-405 State Improper Payments Report Corrective Action Plan (IC-4 - ACF-405) Form and Instruction Modified Missing upstream
Form ACF-403 Improper Payment DCI - ACF-403 Record Review Worksheet: template Form and Instruction Modified Available
Form ACF-403 ACF-403 Record Review Worksheet: template (IC-2 - ACF-403) Form and Instruction Modified Repair queued
public comments #0970-0323_email Becky Halligan 11.25.24.msg Public Comments Uploaded 2024-11-25 Repair queued
Child Care Improper Payments Data Collection Instructions (Office of Management and Budget #0970-0323)_email 1.13.25.msg Public Comments Uploaded 2025-01-13 Repair queued
Attachment B DCI Final Draft Clean updated 1-29-25 clean.docx Supplementary Document Uploaded 2025-01-29 Repair queued
Attachment B DCI Final Draft Clean updated 1-29-25 clean.docx Supplementary Document Uploaded 2025-01-29 Available
Attachment A OCC responses to public comments.docx Supplementary Document Uploaded 2025-01-24 Available
Attachment A OCC responses to public comments.docx Supplementary Document Uploaded 2025-01-24 Repair queued
SSA - OCC DCI Revision_0970-0323_Clean.docx Supporting Statement A Uploaded 2025-01-24 Available
SSA - OCC DCI Revision_0970-0323_Clean.docx Supporting Statement A Uploaded 2025-01-24 Available
SSB - OCC DCI Revision_0970-0323_Clean.docx Supporting Statement B Uploaded 2025-01-24 Available
SSB - OCC DCI Revision_0970-0323_Clean.docx Supporting Statement B Uploaded 2025-01-24 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
273857 ACF-403 Record Review Worksheet: case record reviews (IC-2 - ACF-403) Form and Instruction NewImproper Payment DCI - ACF-403 Record Review Worksheet: case record reviews
273857 ACF-403 Record Review Worksheet: case record reviews (IC-2 - ACF-403) Form and Instruction New
203503 Sampling Decisions, Assurances, and Fieldwork Preparation Plan (IC-1 - SDAP) Form and Instruction ModifiedImproper Payments DCI - Sampling Decisions, Assurances, and Fieldwork Preparation Plan
203503 Sampling Decisions, Assurances, and Fieldwork Preparation Plan (IC-1 - SDAP) Form and Instruction Modified
181818 ACF-404 State Improper Payments Report (IC-3 - ACF-404) Form and Instruction ModifiedACF-404 State Improper Payments Report - 2025 version
181818 ACF-404 State Improper Payments Report (IC-3 - ACF-404) Form and Instruction ModifiedACF-404 State Improper Payments Report - 2026 Version
181818 ACF-404 State Improper Payments Report (IC-3 - ACF-404) Form and Instruction Modified
181817 ACF-405 State Improper Payments Report Corrective Action Plan (IC-4 - ACF-405) Form and Instruction ModifiedImproper Payments DCI - ACF-405 State Improper Payments Report Corrective Action Plan
181817 ACF-405 State Improper Payments Report Corrective Action Plan (IC-4 - ACF-405) Form and Instruction Modified
181816 ACF-403 Record Review Worksheet: template (IC-2 - ACF-403) Form and Instruction ModifiedImproper Payment DCI - ACF-403 Record Review Worksheet: template
181816 ACF-403 Record Review Worksheet: template (IC-2 - ACF-403) Form and Instruction Modified

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
03/31/2028 36 Months From Approved 03/31/2025
4,840 0 4,823
17,291 0 44,151
0 0 0





Reginfo record details
5
table that charts list of burden
IC Title Form No. Form Name
ACF-403 Record Review Worksheet: case record reviews (IC-2 - ACF-403) ACF-403
ACF-403 Record Review Worksheet: template (IC-2 - ACF-403) ACF-403
ACF-404 State Improper Payments Report (IC-3 - ACF-404) ACF-404 , ACF 404 ,  
ACF-405 State Improper Payments Report Corrective Action Plan (IC-4 - ACF-405) ACF-405
Sampling Decisions, Assurances, and Fieldwork Preparation Plan (IC-1 - SDAP) 1

table that charts list of burden
  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 4,840 4,823 0 17 0 0
Annual Time Burden (Hours) 17,291 44,151 0 -26,860 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No