This collection
is approved as amended by OCSE's memorandum of 2/28/97 and on the
following conditions: (1) OCSE will send the revised form and
instructions to OMB prior to distributing the form to States. (2)
In addition to seeking comment through the Federal Register notice
as part of the formal clearance process, OCSE shall extensively
consult with and obtain feedback from employers and employer
organizations, including the Office of Personnel Management (OPM).
Any comments received as part of that process shall be submitted to
OMB at the time of the next clearance, along with a response to the
comments.
Inventory as of this Action
Requested
Previously Approved
08/31/1997
08/31/1997
87,480
0
0
14,580
0
0
22,000
0
0
The child support enforcement agencies
and courts issues order/notices to employers to withhold income for
child support. Welfare reform requires the use of standardized
forms promulgated by the Secretary to HHS to ensure uniformity in
interstate case processing and ease the burden of compliance for
employers. The form will provide employers with the required
amounts to deduct child support payment from an
employee's/obligor's income. Respondents are private
companies/firms, Federal, State, local, and tribal governments who
employ noncustoidal parents owing child support
obligations.
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.