Child Care Bureau: Improper Authorization for Payment Data Collection Instructions, Approved August 31, 2007

Measuring Improper Authorizations for Payment in the Child Care Program:
Improper Authorization for Payment Data Collection Instructions [Approved August 31, 2007]

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OMB Control No. 0970-0323
Expiration date: 08/31/2010

Item #	Item	Coding
Attachment 2 Data Entry Form and Instructions (ACF-401)
1	State
2	County
3	Child ID
4	Sample Month/Year
5	Record Review Date
6	One or more case errors during sample review month 0= no errors, 1= one or more errors
7	Total amount of Underauthorization or Overauthorization during sample review month
8	Type of improper authorization for payment (U = Underauthorization, O = Overauthorization or NA = No Authorization Error)
9	Reason for error due to insufficient or missing documentation (Y = Yes, N = No or NA = No Error)
10	Total Authorization Amount during sample review month

" THE PAPERWORK REDUCTION ACT OF 1995"

Public reporting for this collection of information is estimated to average .18 hours 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.

Instructions for Completing the Data Entry Form: >>

Measuring Improper Authorizations for Payment in the Child Care Program: Improper Authorization for Payment Data Collection Instructions [Approved August 31, 2007]

Attachment 2

Data Entry Form and Instructions (ACF-401)

Measuring Improper Authorizations for Payment in the Child Care Program:
Improper Authorization for Payment Data Collection Instructions [Approved August 31, 2007]