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Revised Form OCSE-100, State Plan for Child Support Collection and Establishment of Paternity Under Title IV-D of the Social Security Act
State Plan for Child Support Collection and Establishment of Paternity Under Title IV-D of the Social Security Act
OMB: 0970-0017
IC ID: 9796
OMB.report
HHS/ACF
OMB 0970-0017
ICR 200711-0970-003
IC 9796
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0017 can be found here:
2024-12-31 - Revision of a currently approved collection
2023-04-28 - Extension without change of a currently approved collection
Documents and Forms
Document Name
Document Type
Annual Fee Preprint Page Draft January11 2007.doc
Other-Other
Simplified Distribution Pre-Print Preprint Page January 12 2007.doc
Simplified Distribution Pre-Print Preprint Page January 12 2007
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Revised Form OCSE-100, State Plan for Child Support Collection and Establishment of Paternity Under Title IV-D of the Social Security Act
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
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Other-Other
Annual Fee Preprint Page Draft January11 2007.doc
No
No
Paper Only
Federal Enterprise Architecture Business Reference Module
Line of Business:
Community and Social Services
Subfunction:
Social Services
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:
0 %
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
54
-270
0
0
0
324
Annual IC Time Burden (Hours)
135
-108
0
0
0
243
Annual IC Cost Burden (Dollars)
163
163
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Simplified Distribution Pre-Print Preprint Page January 12 2007
Simplified Distribution Pre-Print Preprint Page January 12 2007.doc
01/17/2007
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.