Information Collection

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

IC 9796 under ICR 200711-0970-003 · OMB 0970-0017.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0017 can be found here:

Documents and Forms

Documents and forms in this information collection
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

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:

table that charts list of 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

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 %

table that charts list of burden
	Approved	Program Change Due to New Statute	Previously Approved
Annual Number of Responses for this IC	54	-270	324
Annual IC Time Burden (Hours)	135	-108	243
Annual IC Cost Burden (Dollars)	163	163	0

Documents for IC

table that charts IC Documents
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.