Office of Head Start Improper Payment Reviews – Update 2023

Generic for ACF Program Monitoring Activities

OMB: 0970-0558

IC ID: 259658

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0558 can be found here:

Documents and Forms

Document Name Document Type
Form 1 Office of Head Start Improper Payment Reviews – Update 2023 Form
Form 1 Office of Head Start Improper Payment Reviews – Update 2023 Form
1 Payment Management Reconciliation Instrument Instrument 1 - Payment Management Reconciliation Instrument.xlsx Form
1 Payment Management Reconciliation Instrument Instrument 1 - Payment Management Reconciliation Instrument.xlsx Form
Submission Template for Monitoring Improper Payment Reviews-4-12-23.docx Monitoring GenIC Submission Form - OHS Improper Payment Reviews – Update 2023 IC Document
Submission Template for Monitoring Improper Payment Reviews-4-12-23.docx Monitoring GenIC Submission Form - OHS Improper Payment Reviews – Update 2023 IC Document
Attachment A Improper Payment Reviews Notice-4-11-23.docx Attachment A: Improper Payment Reviews Notice 2023 IC Document
Attachment A Improper Payment Reviews Notice-4-11-23.docx Attachment A: Improper Payment Reviews Notice 2023 IC Document
Attachment B - Submission Template for Monitoring Improper Payment Reviews 2021.docx Attachment B: Previously approved submission form (2021) IC Document
Attachment B - Submission Template for Monitoring Improper Payment Reviews 2021.docx Attachment B: Previously approved submission form (2021) IC Document
Attachment C - Disaster Supplement Payment Management Reconciliation Example.xlsx Attachment C: Previously approved Excel file (2021) IC Document
Attachment C - Disaster Supplement Payment Management Reconciliation Example.xlsx Attachment C: Previously approved Excel file (2021) IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Office of Head Start Improper Payment Reviews – Update 2023	Agency IC Tracking Number:	OHS

IC Status: Unchanged

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	1	Payment Management Reconciliation Instrument	Instrument 1 - Payment Management Reconciliation Instrument.xlsx		Yes	Yes	Fillable Fileable

Federal Enterprise Architecture Business Reference Module

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 300	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Previously Approved
Annual Number of Responses for this IC	300	300
Annual IC Time Burden (Hours)	300	300
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Monitoring GenIC Submission Form - OHS Improper Payment Reviews – Update 2023	Submission Template for Monitoring Improper Payment Reviews-4-12-23.docx	04/12/2023
Attachment A: Improper Payment Reviews Notice 2023	Attachment A Improper Payment Reviews Notice-4-11-23.docx	04/12/2023
Attachment B: Previously approved submission form (2021)	Attachment B - Submission Template for Monitoring Improper Payment Reviews 2021.docx	04/12/2023
Attachment C: Previously approved Excel file (2021)	Attachment C - Disaster Supplement Payment Management Reconciliation Example.xlsx	04/12/2023

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