Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
ACF-403 Record Review Worksheet: case record reviews (IC-2 - ACF-403) New 4784 14352 0 Form and Instruction ACF-403
ACF-403 Record Review Worksheet: template (IC-2 - ACF-403) Modified 17 1092 0 Form and Instruction ACF-403
ACF-404 State Improper Payments Report (IC-3 - ACF-404) Modified 18 1144 0 Form and Instruction ACF-404
Form and Instruction ACF 404
ACF-405 State Improper Payments Report Corrective Action Plan (IC-4 - ACF-405) Modified 4 96 0 Form and Instruction ACF-405
Sampling Decisions, Assurances, and Fieldwork Preparation Plan (IC-1 - SDAP) Modified 17 607 0 Form and Instruction 1
Total burden requested under this ICR: 4840 17291 0  
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