Includes “The Child Care and Development Fund (CCDF) block grant program is a Federal-State partnership to provide eligible, low income families with help paying for child care at a provider of their choice. … We found that States differed in the scope of CCDF program integrity activities and varied substantially in the degree to which they conducted specific program integrity activities, as shown in Figure 1. In addition, not all States performed important antifraud activities, and few States notified ACF and other States about suspected fraud.”