Information Collection

Income withholding orders/termination of employment/income status (Employers and other income withholders)

IC 227080 under ICR 202006-0970-003 · OMB 0970-0154.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0154 can be found here:

Documents and Forms

Document Name Document Type
Form 1 Income withholding orders/termination of employment/income status (Employers and other income withholders) Form
0970-0154 IWO Instructions - Revised 2020 clean.pdf Instruction
1 IWO Form 0970-0154 IWO OrderForm clean.pdf Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Income withholding orders/termination of employment/income status (Employers and other income withholders)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	1	IWO Form	0970-0154 IWO OrderForm clean.pdf		Yes	Yes	Fillable Printable
Instruction			0970-0154 IWO Instructions - Revised 2020 clean.pdf		Yes	Yes	Fillable Printable

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1,256,624	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	11,397,580	-74,929	11,472,509
Annual IC Time Burden (Hours)	379,919	-2,498	382,417
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.