ATTACHMENT 3:
State Plan Table of Contents and
Transmittal Page
OMB Control No: 0970-0017
Expiration date: **/**/****
(TITLE IV-D)
Section 1 - SINGLE STATE AGENCY ORGANIZATION
1.1 Designation, Authority, Organization and Staffing
1.2 Statewide Operation
Section 2 - SUPPORT ENFORCEMENT
2.1 State Obligation to provide Child Support Enforcement Services
2.2 Support Obligations
2.4 Collection and Distribution of Support Payments
2.5 Services to Individuals (pages 2.5-1, 2.5-2, 2.5-3, 2.5-4)
2.6 Provision of Services in Interstate IV-D Cases
2.7 Parent Locator Service
2.8 Medical Support Enforcement Activities
2.9 Federal Tax Refund Offset
2.10 Withholding of Unemployment Compensation
2.11 Procedures for the Imposition of Late Payment Fees
2.12 Procedures to Improve Program Effectiveness
2.12-1 Income Withholding
2.12-2 Expedited Administrative and Judicial Procedures
2.12-3 State Income Tax Refund Offset
2.12-4 Liens
2.12-5 Paternity Establishment (pages 2.12-5-1, 2.12-5-2, 2.12-5-3)
2.12-6 Posting Security, Bond, or Guarantee to Secure Payment of Overdue
Support
2.12-7 Reporting Arrearages to Credit Bureaus
2.12-8 Inclusion of a Wage Withholding Provision in All Support Order
Issued/Modified in the States
2.12-8B Immediate Wage Withholding in all Child Support Orders Initially
Issued in the States on or after January 1, 1994
2.12-9 Requirement to Prohibit Retroactive Modification of Support
Arrearages
2.12-10 Review and Adjustment of Child Support Order upon Request
2.12-11 Full Faith and Credit for Determination of Paternity
2.12-12 Access to Records for Location
2.12-13 Collection and Use of Social Security Numbers for Use in Child
Support Enforcement
2.12-14 Administrative Enforcement in Interstate Cases
2.12-15 Work Requirements for Persons Owing Past Due Child Support
2.12-16 State Law Authorizing Suspension of Licenses
2.12-17 Financial Institution Data Matches
2.12-18 Enforcement of Orders against Paternal or Maternal Grandparents of
Children of Minor Parents
2.12-19 Enforcement of Orders for Health Care Coverage
2.12-20 Adoption of Uniform State Laws
2.12-21 Laws Voiding Fraudulent Transfers
2.13 Incentive payments to States and Political Subdivisions
2.14 Rights to Notification of Hearings
2.15 Federal and State Reviews and Audits
Section 3 - GENERAL PROGRAM ADMINISTRATION
3.1 Cooperative Arrangements
3.2 Reports and Maintenance of Records
3.3 State Statutes
3.4 Standards for an Effective Program
3.5 Nondiscrimination
3.6 Bonding of Employees
3.7 Separation of Cash Handling and Accounting Functions
3.8-1 Computerized Support Enforcement System 10/1/91
3.8-2 Computerized Support Enforcement System 10/1/97
3.8-3 Computerized Support Enforcement System 10/1/00
3.9 Publicize Availability of Child Support Services
3.10 Notice of Collection of Assigned Support
3.11 Guideline for Setting Child Support Obligations within the State
Agency or Other Entity
3.12 Payment of Support through the IV-D Agency or Other Entity
3.13 Privacy Safeguards
3.14 Collection and Disbursement of Support Payments
3.15 State Directory of New Hires
3.16 Cooperation by Applicants for and Recipients of Assistance
3.17 Definitions for Collecting and Reporting Information
3.18 Denial of Passports for Non-Payment of Child Support
3.19 Request for Services by a Foreign Country
Section 4 - FINANCIAL ADMINISTRATION
4.1 Fiscal Policies and Accountability
4.2 State Financial Participation
Section 5 - STATE PLAN ADMINISTRATION
5.1 Plan Amendments
5.2 State Governor’s Review
ATTACHMENTS
*1.1A Organization and Staffing of IV-D Agency
*2.5A Application Fees Charged to Individuals Not Receiving IV-A or Foster Care
2.8A Cooperative Agreement between IV-D Agency and State Medicaid Agency
2.12-2A List of Exemption(s) from Expedited Process
2.12-5A Paternity Establishment
2.12-9A Statute or Court Ruling to Prohibit Retroactive Modification of Child Support Obligation
*3.1A List of Cooperative Agreements
*3.3A List of Statutes and Regulations
*3.5A Nondiscrimination
*3.6A Bonding Arrangements Approved by the State IV-D Agency
*3.11A Guidelines for Setting Child Support Obligations
* (indicates that an attachment is required)
OMB Control No: 0970-0017
Expiration date: **/**/****
DEPARTMENT OF HEALTH AND HUMAN SERVICES
OFFICE OF CHILD SUPPORT ENFORCEMENT Submit 2 Copies
TRANSMITTAL AND NOTICE OF APPROVAL OF STATE PLAN MATERIAL FOR: TITLE IV-D OF THE SOCIAL SECURITY ACT
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TRASNMITTAL NUMBER
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STATE
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ACTION TRANSMITTAL NUMBER AND DATE
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TO: REGIONAL REPRESENTATIVE OFFICE OF CHILD SUPPORT ENFORCEMENT DEPARTMENT OF HEALTH AND HUMAN SERVICES REGION ____________________________________
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PROPOSED EFFECTIVE DATE |
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TYPE OF PLAN MATERIAL (Check One) NEW STATE PLAN AMENDMENT TO BE CONSIDERED AS A NEW PLAN AMENDMENT
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COMPLETE NEXT 4 BLOCKS IF THIS IS AN AMENDMENT |
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FEDERAL REGULATION CITATION
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NUMBER OF THE PLAN SECTION OR ATTACHMENT
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NUMBER OF THE SUPERSEDED PLAN SECTION OR ATTACHMENT
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SUBJECT OF AMENDMENT
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GOVERNOR’S REVIEW (Check One) GOVERNOR’S OFFICE REPORTED NO COMMENT OTHER, AS SPECIFIED: COMMENTS OF GOVERNOR’S OFFICE ENCLOSED NO REPLY RECEIVED WITHIN 45 DAYS OF SUBMITTAL
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SIGNATURE OF STATE AGENCY OFFICIAL (1 Original signature required)
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FOR REGIONAL OFFICE USE ONLY |
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DATE RECEIVED |
DATE APPROVED |
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TYPED NAME:
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PLAN APPROVED – ONE COPY ATTACHED
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EFFECTIVE DATE OF APPROVED MATERIAL
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TITLE: |
SIGNATURE OF REGIONAL OFFICIAL
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DATE OF SUBMITTAL: |
TYPED NAME:
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RETURN TO:
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TITLE:
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REMARKS:
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FORM OCSE-21-U4
File Type | application/msword |
File Title | TRANSMITTAL AND NOTICE OF APPROVAL OF STATE PLAN MATERIAL |
Author | anmiller |
Last Modified By | USER |
File Modified | 2008-02-05 |
File Created | 2007-08-22 |