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Federal forms, ICRs, and supporting documents

Information Collection

Income withholding order/notice (Courts, private attorneys, custodial parties or their representatives)

IC 227079 under ICR 202306-0970-010 · OMB 0970-0154.

Documents and Forms
Document Name
Document Type
Instruction
Instruction
Form
Form
Information Collection (IC) Details

View Information Collection (IC)

Income withholding order/notice (Courts, private attorneys, custodial parties or their representatives)
 
No Modified
 
Required to Obtain or Retain Benefits
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Instruction 0970_0154_Instructions_Sample_Form_OCSS_071223.pdf Yes Yes Fillable Printable
Form 1 IWO Form 0970_0154_IWO_Form_OCSS_062123.docx Yes Yes Fillable Printable

Community and Social Services Social Services

 

4,694,517 0
   
Private Sector Businesses or other for-profits, Not-for-profit institutions
 
   90 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 4,694,517 0 0 602,926 0 4,091,591
Annual IC Time Burden (Hours) 391,210 0 0 50,244 0 340,966
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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.