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

Forms and Documents

Document Name	Status
Form 1 e-IWO Employers Form and Instruction	New
Form 1 Non-IV-D-CPs Form	Modified
Form 1 Employers Form	Modified
2014_06_23_Crosswalk_of_2011_2014_IWO_Instructions.docx Supplementary Document	2014-06-25
2014_06_20_Crosswalk _of_2011_and_2014_IWOs.docx Supplementary Document	2014-06-25
2014_02_10_Income_Withholding_for_Support_Form_highlighted.docx Supplementary Document	2014-06-25
2014_01_24_Income_Withholding_for_Support_Instructions_highlighted.doc Supplementary Document	2014-06-25
0970-0154 IWO_Supporting_Statement revised 6 25 14.docx Supporting Statement A	2014-06-25
Attachment G - Summary of Comments-Responses.doc Supplementary Document	2011-02-22
Attachment H - Safeguarding and Disclosure of Confidential Information.pdf Supplementary Document	2011-02-24
Attachment D - Applicable Statutes.pdf Supplementary Document	2011-02-24
Attachment D - Applicable Statutes.pdf Supplementary Document	2011-02-24

IC Document Collections

IC ID	Document Title	Status
211224	e-IWO Employers Form and Instruction	New
196434	Non-IV-D-CPs Form	Modified
196433	Employers Form	Modified

ICR Details

OMB Control No: 0970-0154	ICR Reference No: 201404-0970-003
Status: Historical Active	Previous ICR Reference No: 201102-0970-002
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: 07/03/2014
	Date Received in OIRA: 04/11/2014
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	07/31/2017	36 Months From Approved	07/31/2014
Responses	12,627,035	0	11,830,020
Time Burden (Hours)	519,300	0	492,786
Cost Burden (Dollars)	24,041,245	0	21,021,695

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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:
	78 FR 43208	07/19/2013
30-day Notice:	Federal Register Citation:	Citation Date:
	79 FR 19344	04/08/2014
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 3

IC Title	Form No.	Form Name
e-IWO Employers	1	Record Specification
Employers	1	IWO Form
Non-IV-D-CPs	1	IWO Form

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ICR Summary 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	12,627,035	11,830,020	0	797,015	0	0
Annual Time Burden (Hours)	519,300	492,786	0	26,514	0	0
Annual Cost Burden (Dollars)	24,041,245	21,021,695	0	3,019,550	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: Adjustments were made due to an increase in case load and the numbeer of respondents using the electronic version of the IWO form. Minor program changes were made to the IWO form to improve clarity.

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Annual Cost to Federal Government: $717,507

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: 04/11/2014

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