State Self-Assessment Review and Report

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form 1 State Self-Assessment Review and Report	Form and Instruction	Unchanged	Available
Statistical Sampling Office of Child Support Enforcement Administration for.pdf	Supplementary Document	Uploaded 2016-02-16	Available
Part B Self-Assessment SS.docx	Supporting Statement B	Uploaded 2015-11-18	Available
SelfAssessment RevisedSupporting Statement 2-3-2016.doc	Supporting Statement A	Uploaded 2016-02-23	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
10062	State Self-Assessment Review and Report	Form and Instruction	Unchanged

ICR Details

OMB Control No: 0970-0223	ICR Reference No: 201511-0970-003
Status: Historical Active	Previous ICR Reference No: 201303-0970-008
Agency/Subagency: HHS/ACF	Agency Tracking No: OCSE
Title: State Self-Assessment Review and Report
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: 02/24/2016
	Date Received in OIRA: 11/18/2015
Terms of Clearance: ACF will report to OMB on the results of the internal working group examining estimated burden hours and opportunities to improve self-assessment reporting and will, if necessary, adjust burden estimates accordingly.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	02/28/2019	36 Months From Approved	05/31/2016
Responses	54	0	54
Time Burden (Hours)	216	0	216
Cost Burden (Dollars)	0	0	0

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Abstract: The Federal Office of Child Support Enforcement (OCSE) oversees administration of the Child Support Enforcement program in the 54 States and jurisdictions that participate in it. The Federal government sets program standards and policy, evaluates States' performance in conducting their program, and offers technical assistance and training to the States. It also conducts audits of State program activities. In its oversight role, the Federal government is responsible for receiving Self-Assessment reports submitted by states and, as appropriate, providing to the States comments, recommendations for additional or corrective action, and technical assistance that a State may need. In addition, the submitted reports are reviewed and analyzed by the Office of Child Support Enforcement(OCSE)to identify "best practices" to be shared with other States. The authority to collect and report information requested on this form is found in section 454(15)(A) of the Social Security Act(see Attachment A). The Self-Assessment reports are intended to give States the opportunity to assess whether they are meeting Federal requirements for providing child support services and providing the best services possible. In addition, these reports are used by OCSE to monitor State compliance in areas critical to successful State child support programs. Child support enforcement can play a pivotal role in reducing welfare dependency, with savings to the Federal Government. One aspect of motivating States to take the necessary action is to pinpoint program areas where improvement is critical and warrants priority attention.

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Authorizing Statute(s): US Code: 42 USC 654 Name of Law: SSA
  

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:
	80 FR 51820	08/26/2015
30-day Notice:	Federal Register Citation:	Citation Date:
	80 FR 70231	11/13/2015
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 1

table that charts list of burden

IC Title	Form No.	Form Name
State Self-Assessment Review and Report	1	CSE Program Self-Assessment Report

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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	54	54	0	0	0	0
Annual Time Burden (Hours)	216	216	0	0	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

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Annual Cost to Federal Government: $5,000

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

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: 11/18/2015

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