Data Verification Procedures; Caseload Reduction Documentation Process; Reasonable Cause/Corrective Compliance Documentation Process, TANF Data Report; SSP-MOE Data Report

TANF DATA REPORT - SECTION 4
NUMBER OF FAMILIES BY STRATUM FOR STATES THAT REPORT DATA BASED
ON A STRATIFIED SAMPLE
GENERAL INFORMATION

1.

State FIPS Code

2.

Tribal Code
(For Tribal Use Only)

3.

Calendar Quarter
Year

Y

Quarter

Y

Y

Y

Q

6. TOTAL NUMBER OF FAMILIES
4.

TDR Section Indicator

5.

STRATUM

A. FIRST MONTH

B. SECOND MONTH

C. THIRD MONTH

(1.)

(2)

(3.)

(4.)

(5.)

(6.)

(7.)

(8.)

(9.)

OMB Number 0970-0199 - Expiration Date: 06/30/2002
ACF - 199

TANF DATA REPORT - SECTION 4

Page1

(10.)

(11.)

(12.)

OMB Number 0970-0199 - Expiration Date: 06/30/2002
ACF - 199

TANF DATA REPORT - SECTION 4

Page2