OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

ACF-404 State Improper Payments Report (IC-3 - ACF-404)

IC 181818 under ICR 202501-0970-010 · OMB 0970-0323.

Documents and Forms
Document Name
Document Type
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Information Collection (IC) Details

View Information Collection (IC)

ACF-404 State Improper Payments Report (IC-3 - ACF-404)
 
No Modified
 
Required to Obtain or Retain Benefits
 
45 CFR 98

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction ACF-404 ACF-404 State Improper Payments Report - 2026 Version IC-3 [ACF-404].pdf Yes Yes Fillable Printable
Form and Instruction ACF 404 ACF-404 State Improper Payments Report - 2025 version Improper Payments DCI Final Draft Clean Copy_UPDATED 12-14-21.docx Yes Yes Fillable Fileable

Community and Social Services Social Services

 

52 0
   
State, Local, and Tribal Governments
 
   100 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 18 0 0 0 0 18
Annual IC Time Burden (Hours) 1,144 0 -10,348 0 0 11,492
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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.