Second Error Rate Pilot Report
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APPENDIX G. DATA ENTRY FORM
| VARIABLE | VALUE |
| State | |
| County | |
| Child ID | |
| Study Period Month (October 2004)] | |
| Date of data collection | |
| One or more eligibility errors during pilot period] 0 =no errors, 1 = one or more errors |
|
| Cause of improper payment 0 =no errors, 1 = client, 2 = agency |
|
| Total amount of improper payments during review month | |
| Total amount of payments during review month] |
Appendix H. Error Rate Cost Analysis >>
June, 2007

