Information Collection

Employers

IC 196433 under ICR 201404-0970-003 · OMB 0970-0154.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0154 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 Employers	Form
0970-0154_Income_Withholding_for_Support_041714.docx	Instruction
1 IWO Form 0970-0154_Income_Withholding_for_Support_Instructions 041714.doc	Form
Attachment D - Applicable Statutes.pdf Applicable Statutes	IC Document

IC Title:

Employers

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
Form	1	IWO Form	0970-0154_Income_Withholding_for_Support_Instructions 041714.doc		Yes	Yes	Fillable Printable
Instruction			0970-0154_Income_Withholding_for_Support_041714.docx		Yes	Yes	Fillable Printable

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 1,283,228

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	9,470,223	-390,753	9,860,976
Annual IC Time Burden (Hours)	315,674	-13,025	328,699
Annual IC Cost Burden (Dollars)	15,250,219	-21,868	15,272,087

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Applicable Statutes	Attachment D - Applicable Statutes.pdf	02/24/2011

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.