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475 Tracking Spreadsheet is updated. The completed Child Care Program Office Variance Decision form and cover letter is mailed to the provider and a copy forwarded to the assigned Child Care Assistance Program (CCAP) Designee and the action documented in an Integrated Child Care Information System (ICCIS) case note. 2. Oversight Agency Recommendation form The form is completed by the PAA II or PC II. The PAA II or PC II scans and emails the completed Oversight Agency Recommendation form along with the Background Variance Request Application packet to the CCPO’s DOH Background Variance Committee’s representative to submit to the Background Variance Committee Chair and enters a case note in the provider’s case in ICCIS. 4290-4 DEPARTMENT OF HEALTH BACKGROUND VARIANCE REVIEW COMMITTEE The Department of Health (DOH) Background Variance Review Committee approves or denies all complete background check variance requests from providers subject to the background check process for all divisions within the DOH. The DOH Background Variance Review Committee consists of representatives from all of the DOH divisions covered under Alaska Administrative Code (AAC) for Licensing, Certification, and Approvals (Barrier Crimes and Conditions: Background Checks) 7 AAC 10. The DOH Background Variance Review Committee meets on a weekly basis, as needed, to review applications and make a recommendation to the DOH Commissioner. The DOH Background Variance Review Committee’s recommendation and special conditions can be different than the Designee or Child Care Program Office (CCPO)’s recommendation. When a barring crime and/or condition is a permanent barrier, the CCPO’s representative will forward the DOH Background Committee’s recommendation to the Division Director for their recommendation and signature. Upon receiving the Director’s recommendation and signature, the variance is forwarded to the