Information Collection

ACF-404 State Improper Payments Report (IC-3 - ACF-404)

IC 181818 under ICR 202501-0970-010 · OMB 0970-0323.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form ACF-404 ACF-404 State Improper Payments Report (IC-3 - ACF-404)	Form and Instruction
Form ACF-404 ACF-404 State Improper Payments Report - 2026 Version ACF-404 State Improper Payments Report (IC-3 - ACF-404)	Form and Instruction
Form ACF 404 ACF-404 State Improper Payments Report - 2025 version ACF-404 State Improper Payments Report (IC-3 - ACF-404)	Form and Instruction
ACF-404 ACF-404 State Improper Payments Report - 2026 Version IC-3 [ACF-404].pdf	Form and Instruction
ACF-404 ACF-404 State Improper Payments Report - 2026 Version IC-3 [ACF-404].pdf	Form and Instruction
ACF 404 ACF-404 State Improper Payments Report - 2025 version Improper Payments DCI Final Draft Clean Copy_UPDATED 12-14-21.docx	Form and Instruction
ACF 404 ACF-404 State Improper Payments Report - 2025 version Improper Payments DCI Final Draft Clean Copy_UPDATED 12-14-21.docx	Form and Instruction

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 45 CFR 98

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	ACF-404				Yes	Yes	Fillable Printable
Form and Instruction	ACF 404				Yes	Yes	Fillable Fileable

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 52

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	18	0	18
Annual IC Time Burden (Hours)	1,144	-10,348	11,492
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

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

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