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Federal forms, ICRs, and supporting documents

Information Collection Request

Order to Withhold Income for Child Support and Notice of an Order to Withhold Income for Child Support

ICR 200403-0970-003 · OMB 0970-0154 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC IDCollectionTypeStatusForm
9918 Order to Withhold Income for Child Support and Notice of an Order to Withhold Income for Child Support Migrated
ICR Details
0970-0154 200403-0970-003
Historical Active 200012-0970-007
HHS/ACF
Order to Withhold Income for Child Support and Notice of an Order to Withhold Income for Child Support
Revision of a currently approved collection   No
Regular
Approved with change 05/28/2004
Retrieve Notice of Action (NOA) 03/29/2004
Approved. Upon next submission, ACF should report on progress of effort to create a universal case number across IV-D agencies. Progress in this effort should lead to a re-examination of the need to report the child's name and date of birth and possible through increased reliance on the case number.
  Inventory as of this Action Requested Previously Approved
05/31/2007 05/31/2007 05/31/2004
216,000 0 54
980,230 0 16,056
0 0 0
Child support enforcement agencies, courts, attorneys, private collection agencies, and individuals complete orders and notices to withhold income for child support. PRWORA requires the use of standardized forms promulgated by the Secretary of HHS to ensure uniformity in interstate case processing and ease the burden of compliance for employers. This revised form clearly distinguishes when the form is sent by a state agency, private firms, or others.
None
None
No
1
IC Title Form No. Form Name
Order to Withhold Income for Child Support and Notice of an Order to Withhold Income for Child Support
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 216,000 54 0 0 215,946 0
Annual Time Burden (Hours) 980,230 16,056 0 0 964,174 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No
$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected
  No
On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
03/29/2004