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Provider Enrollment Form U.S. Department of Labor Office of Workers' Compensation Programs OMB Number 1240-0021 Expires: 11/30/2012 Please refer to instructions for completing this form. Provider
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What is OMB number 1240 0021?
OMB number 1240 0021 is assigned to the form used to collect data on the Child Care and Development Fund (CCDF) annual aggregate report.
Who is required to file OMB number 1240 0021?
States that receive CCDF funds are required to file OMB number 1240 0021.
How to fill out OMB number 1240 0021?
To fill out OMB number 1240 0021, states must report data on child care services provided, families served, and funding allocation.
What is the purpose of OMB number 1240 0021?
The purpose of OMB number 1240 0021 is to collect information on the CCDF program to ensure compliance with federal regulations and monitor program performance.
What information must be reported on OMB number 1240 0021?
Information such as child care provider payments, number of children served, and quality improvement activities must be reported on OMB number 1240 0021.
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