Sampling Decisions, Assurances, and Fieldwork Preparation Plan

Child Care Improper Payments Data Collection Instructions

Documents and Forms

Document Name Document Type
Form 1 Sampling Decisions, Assurances, and Fieldwork Preparation Plan Form and Instruction
1 Improper Payments DCI - Appendix B Attachment A_Improper Payments DCI Final draft 30-day FRN_Clean Copy.docx Form and Instruction
1 Improper Payments DCI - Appendix B Improper Payments DCI Final Draft Clean Copy_UPDATED 12-14-21.docx Form and Instruction

Information Collection (IC) Details

IC Title:	Sampling Decisions, Assurances, and Fieldwork Preparation Plan	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:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	1	Improper Payments DCI - Appendix B	Improper Payments DCI Final Draft Clean Copy_UPDATED 12-14-21.docx		Yes	Yes	Fillable Printable

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 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	18	1	17
Annual IC Time Burden (Hours)	1,908	106	1,802
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

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.