Information Collection

Order/Notice to Withhold Income for Child Support

IC 9915 under ICR 199702-0970-003 · OMB 0970-0154.

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Documents and Forms

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Information Collection (IC) Details

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IC Title:	Order/Notice to Withhold Income for Child Support	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Migrated

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 54	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 25 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	87,480	87,480
Annual IC Time Burden (Hours)	14,580	14,580
Annual IC Cost Burden (Dollars)	22,000	22,000

Documents for IC

Title	Document	Date Uploaded

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