Temporary Assistance for Needy Families/National Directory of New Hires Match Results Report

TANF Agency NDNH Match Results – FY 2xxx

State:
			1.	2.	3.	4.
Match Type	Quarter	Month	Unduplicated Individuals Verified as Employed	Unduplicated TANF Cases Closed Due to Earnings	Unduplicated TANF Cases with Benefits Reduced	Unduplicated First Month Avoided TANF Costs
W-4 Data Match	Quarter 1	Oct
		Nov
		Dec
	Quarter 2	Jan
		Feb
		Mar
	Quarter 3	Apr
		May
		Jun
	Quarter 4	Jul
		Aug
		Sep
QW Data Match	Quarter 1	Oct
	Quarter 2	Jan
	Quarter 3	Apr
	Quarter 4	Jul
UI Data Match	Quarter 1	Oct
	Quarter 2	Jan
	Quarter 3	Apr
	Quarter 4	Jul
Unduplicated Annual Total

“Unduplicated” means counting the same person no more than once per fiscal year. Individuals should only be counted in one of the three data sources.

Please see instructions on page two for an explanation of the four performance measures.

Estimate of annual savings from NDNH matches: ______________________

Instructions

General Instructions

Report all outcomes in the month of the match, not the month of verification or case action. Data is to be reported 45 days after the end of each quarter. Data reported in prior quarterly submissions can be updated in subsequent quarterly submissions.

Previously Unknown Employment

Item 1. Unduplicated Individuals Verified as Employed: The number of unduplicated individuals with previously unknown employment that had a NDNH match and were verified as being employed while they were a TANF recipient in your State.

Actions Taken

Item 2. Unduplicated TANF Cases Closed Due to Earnings: The number of unduplicated individuals reported in item 1 whose TANF grant was closed as a result of employment verified from an NDNH match.

Item 3. Unduplicated TANF Cases with Benefits Reduced: The number of unduplicated individuals reported in item 1 whose TANF grant was reduced as a result of employment verified from an NDNH match.

Avoided Costs

Item 4. Unduplicated First-Month Avoided TANF Costs: Total first-month TANF costs avoided from items 2 and 3.

Additional Explanation Added Here for “Unduplicated Annual Total.”

THE PAPERWORK REDUCTION ACT OF 1995

Public reporting burden for this collection of information is estimated to average 10 minutes per response, including the time for reviewing instructions, gathering and maintaining the data needed, and reviewing the collection of information.

An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB control number.