Affidavit / Paternity

Provision of Services in Interstate Child Support Enforcement: Standard Forms

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0085 can be found here:

Documents and Forms

Document Name Document Type
Form 1 Affidavit / Paternity Form and Instruction
1 General Testimony - instructions OMB-0970-0085-GI_General_Testimony_Instructions.pdf Form and Instruction

Information Collection (IC) Details

IC Title:	Affidavit / Paternity	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 45 CFR 303

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	1	General Testimony - instructions	OMB-0970-0085-GI_General_Testimony_Instructions.pdf		Yes	Yes	Fillable Fileable

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	Previously Approved
Annual Number of Responses for this IC	260,226	260,226
Annual IC Time Burden (Hours)	44,238	44,238
Annual IC Cost Burden (Dollars)	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.