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

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form 1 Revised form	Form	Removed	Available
Form Attachment A Attachment A - Income Withholding for Support, OMB	Form	New	Available
Form 1 Withholding for Support	Form	New	Available
Form 1 Record Layout	Form and Instruction	New	Repair queued
Attachment G - Summary of Comments-Responses.doc	Supplementary Document	Uploaded 2011-02-22	Available
Attachment H - Safeguarding and Disclosure of Confidential Information.pdf	Supplementary Document	Uploaded 2011-02-24	Available
Attachment D - Applicable Statutes.pdf	Supplementary Document	Uploaded 2011-02-24	Available
Attachment D - Applicable Statutes.pdf	Supplementary Document	Uploaded 2011-02-24	Available
IWO Instructions Proposed Changes [FINAL] 2010-09-13.doc	Supplementary Document	Uploaded 2010-10-19	Available
e-IWO record layouts_06.15.10.pdf	Supplementary Document	Uploaded 2010-10-19	Available
Sent to OMB 5-4-11 IWO_PRA_Supporting_Statement_02_11_11_vfinal_REV 05 04 11.doc	Supporting Statement A	Uploaded 2011-05-05	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
9918	IWO	Form	Removed	Revised form
9918	IWO	Other-instrument	Removed
196434	Non-IV-D-CPs	Form	New	Attachment A - Income Withholding for Support, OMB
196434	Non-IV-D-CPs	Instruction	New
196433	Employers	Form	New	Withholding for Support
196433	Employers	Form and Instruction	New	Record Layout
196433	Employers	Instruction	New
180292	e-IWO	Other-Record layout	Removed
180291	Manual	Other-Manual	Removed

ICR Details

OMB Control No: 0970-0154	ICR Reference No: 201102-0970-002
Status: Historical Active	Previous ICR Reference No: 200705-0970-004
Agency/Subagency: HHS/ACF	Agency Tracking No:
Title: Order to Withhold Income for Child Support and Notice of an Order to Withhold Income for Child Support
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 05/06/2011
Retrieve Notice of Action (NOA)	Date Received in OIRA: 02/28/2011
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	05/31/2014	36 Months From Approved	05/31/2011
Responses	11,830,020	0	15,577,826
Time Burden (Hours)	492,786	0	221,095
Cost Burden (Dollars)	21,021,695	0	0

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Abstract: The Personal Responsibility and Work Opportunity Reconciliation Act (PRWORA) of 1996, Section 324, requires the Federal Office of Child Support Enforcement (OCSE) to develop a standardized form to collect child support payments from an obligor's employer. The form, which promotes standardization, expires 5/31/2007, and ACF is taking this opportunity to revise the form and its instructions.

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Authorizing Statute(s): PL: Pub.L. 104 - 193 324 Name of Law: Personal Responsibility and Work Opportunity Reconcillation Act of 1996
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	75 FR 37816	06/30/2010
30-day Notice:	Federal Register Citation:	Citation Date:
	76 FR 9582	02/18/2011
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 2

table that charts list of burden

IC Title	Form No.	Form Name
Employers	1, 1	Record Layout ,   Withholding for Support
IWO	1	Revised form
Manual
Non-IV-D-CPs	Attachment A	Attachment A - Income Withholding for Support, OMB
e-IWO

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ICR Summary of Burden

table that charts list of burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	11,830,020	15,577,826	0	-3,747,806	0	0
Annual Time Burden (Hours)	492,786	221,095	0	271,691	0	0
Annual Cost Burden (Dollars)	21,021,695	0	0	21,021,695	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: OCSE is requesting a revision to the previous clearance. The annual hour burden has been eliminated on state child support enforcement agencies, tribes and courts since submission of the 2007 version of this form due to increased use of technology and that the information collection is accounted for in OMB # 0980-0271 which addresses information collection for CSE systems and therefore eliminated the calculation of 221,095 burden hours submitted in the last form revision. The proposed form and instruction changes were made for consistency and clarity in light of numerous comments suggesting the changes and are captured in Appendix G. OCSE's initiative to facilitate the electronic transmission of Income Withholding for Support forms (e-IWO) between CSE agencies and employers/income withholders has become more widely used since 2007. Currently used by 22 states and over 100 employers/income withholders, the e-IWO initiative decreases costs and increases child support collections. As the number of transmissions sent via e-IWO increases, CSE agencies and employers will experience even more cost savings. Previous iterations of the IWO omitted employers and CPs or attorneys or PCAs issuing IWOs on behalf of CPs as respondents; however, upon further review it has been determined that the impact on employers and CPs should be included in this information collection. This is based on the requirement that employers complete the "Notification of Termination/Income Status" section of the IWO and that CPs or attorneys or PCAs issuing IWOs on behalf of CPs do not have the information required to complete the IWO contained in an automated system and therefore are required to manually issue IWOs to employers/income withholders. The annual burden estimates for employers and CPs is captured in section A12. Although the burden for states, courts and tribes was eliminated, the employers and Non-IV-D CPs were added to this clearance, increasing the estimated total annual burden hours from 221,095 to 476,351

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Annual Cost to Federal Government: $0

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 02/28/2011

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