Revised Form OCSE-100, State Plan for Child Support Collection and Establishment of Paternity Under Title IV-D of the Social Security Act

Forms and Documents

Document Name	Status

No forms / supporting documents in this ICR. Check IC Document Collections.

IC Document Collections

IC ID	Document Title	Status
9795	Revised Form OCSE-100, State Plan for Child Support Collection and Establishment of Paternity Under Title IV-D of the Social Security Act Form	Migrated

ICR Details

OMB Control No: 0970-0017	ICR Reference No: 200212-0970-004
Status: Historical Active	Previous ICR Reference No: 199907-0970-001
Agency/Subagency: HHS/ACF	Agency Tracking No:
Title: Revised Form OCSE-100, State Plan for Child Support Collection and Establishment of Paternity Under Title IV-D of the Social Security Act
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 03/05/2003
	Date Received in OIRA: 12/23/2002
Terms of Clearance: This information collection request is approved on the following conditions: 1) In the future, all significant revisions to the state plan requirements must be submitted to OMB for review along with any new or revised preprints and the instructions for meeting the new requirements (e.g., an OCSE action transmittal). 2) All instructions transmitted to states for revising the state plan must include a PRA burden statement. 3) All modifications to approved preprint pages or instruction material (including the draft action transmittal submitted to OMB on March 3, 2003) must be submitted to OMB for approval through a change worksheet (OMB 83-C). 4) OCSE should review whether the burden estimate of 90 hours per year (approximately 1.7 hours per state) overstates the total annual burden on states, and submit any adjustments for approval through a change worksheet (OMB 83-C). 5) Form OCSE-21-U4 must be submitted to OMB for approval through a change worksheet (OMB 83-C). The form should be revised to include the OMB control number and expiration date. 6) ACF certifies that no public comments were received.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	09/30/2004	09/30/2004	03/31/2003
Responses	54	0	54
Time Burden (Hours)	90	0	51
Cost Burden (Dollars)	0	0	0

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Abstract: The state plan preprint and amendments serve as a contract with OCSE in outlining the activities the state will perform as required by law in order for states to receive federal funds to meet the costs of these activities. The affected public is comprised of states receiving funds. We are asking for approval to revise one state plan preprint page to reflect new federal requirements.

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Authorizing Statute(s): None

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:

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Federal Register Notices & Comments

Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
Revised Form OCSE-100, State Plan for Child Support Collection and Establishment of Paternity Under Title IV-D of the Social Security Act	OCSE-100

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ICR Summary of Burden

	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	54	54	0	0	0	0
Annual Time Burden (Hours)	90	51	0	39	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

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Annual Cost to Federal Government: $0

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? Uncollected

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? Uncollected

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? Uncollected

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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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:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(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;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

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.

Certification Date: 12/23/2002

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