Iwo

Order to Withhold Income for Child Support and Notice of an Order to Withhold Income for Child Support

⚠️ Notice: This information collection may be referencing outdated material.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
03 Draft IWO 04-25-07.doc Other-instrument
03 Draft IWO INSTRUCTIONS 04_25_07.doc Other-instructions
1 Revised form Income Withholding Form Revised10192007v2.doc Form

Information Collection (IC) Details

IC Title:	IWO	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	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-instrument			03 Draft IWO 04-25-07.doc	No	No	Paper Only
Other-instructions			03 Draft IWO INSTRUCTIONS 04_25_07.doc	No	No	Paper Only
Form	1	Revised form	Income Withholding Form Revised10192007v2.doc	Yes	Yes	Paper Only

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records
Title: Location and Collection System	FR Citation: 70 FR 21200

Number of Respondents: 58	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	12,000,026	11,784,026	216,000
Annual IC Time Burden (Hours)	20,400	-959,830	980,230
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.