45 CFR 303.7 - Provision of Services in Intergovernmental IV-D; Federally Approved Forms Title:

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form 1 Uniform Support Petition	Form and Instruction	Modified	Available
Form 1 Declaration in Support of Establishing Parentage revised final	Form and Instruction	New	Available
Form 1 Request For Change of Support Payment Location	Form and Instruction	New	Available
Form 1 Child Support Agency Confidential Information	Form and Instruction	New	Available
Form 1 Personal Information Form	Form and Instruction	New	Available
Form 1 Letter of Transmittal Requesting Registration	Form and Instruction	New	Available
Form 1 Notice of Determination of Controlling Order	Form and Instruction	New	Available
Form 1 Transmittal 1 Acknowledgment	Form and Instruction	New	Available
Form 1 Affidavit	Form and Instruction	Removed	Available
Form 1 General Testimony	Form	Modified	Available
Form 1 Child Support Locate Request	Form and Instruction	Modified	Available
Form 1 Controlling Order	Form and Instruction	Removed	Repair queued
Form 1 Registration Statement	Form and Instruction	Removed	Available
Form 1 Transmittal 1	Form and Instruction	Modified	Available
Form 1 Transmittal 2	Form and Instruction	Modified	Available
Form 1 Transmittal 3	Form and Instruction	Modified	Available
Attachment 2 OMB Response to Comments 06062016.xlsx	Supplementary Document	Uploaded 2016-12-20	Available
Attachment 1 Policy References 06222016.docx	Supplementary Document	Uploaded 2016-12-20	Available
Supporting Statement 12222016 final.docx	Supporting Statement A	Uploaded 2016-12-27	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
9837	Uniform Support Petition	Form and Instruction	Modified	Uniform Support Petition
222799	Declaration in Support of Establishing Parentage	Form and Instruction	New	Declaration in Support of Establishing Parentage revised final
222798	Request for Change of Support Payment Location Pursuant to UIFSA 319(b)	Form and Instruction	New	Request For Change of Support Payment Location
222797	Child Support Agency Confidenial Information Form	Form and Instruction	New	Child Support Agency Confidential Information
222796	Personaql Information Form for UIFSA sec. 311	Form and Instruction	New	Personal Information Form
222795	Letter of Transmittal Requesting Registration	Form and Instruction	New	Letter of Transmittal Requesting Registration
222794	Notice of Determination of Controlling Order	Form and Instruction	New	Notice of Determination of Controlling Order
222792	Transmillal #1- Initial Request Acknowledgement	Form and Instruction	New	Transmittal 1 Acknowledgment
182930	Affidavit / Paternity	Form and Instruction	Removed	Affidavit
182929	General Testimony	Form	Modified	General Testimony
182929	General Testimony	Instruction	Modified
182928	Locate Data Sheet	Form and Instruction	Modified	Child Support Locate Request
182927	Contolling Order	Form and Instruction	Removed	Controlling Order
182926	Registration Statement	Form and Instruction	Removed	Registration Statement
182925	Transmittal 1-Initial Request	Form and Instruction	Modified	Transmittal 1
182924	Transmittal 2	Form and Instruction	Modified	Transmittal 2
182923	Transmittal #3- Request for Assistance /Discovery	Form and Instruction	Modified	Transmittal 3

ICR Details

OMB Control No: 0970-0085	ICR Reference No: 201608-0970-001
Status: Historical Active	Previous ICR Reference No: 201312-0970-002
Agency/Subagency: HHS/ACF	Agency Tracking No: OCSE
Title: Title: 45 CFR 303.7 - Provision of Services in Intergovernmental IV-D; Federally Approved Forms
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: 12/29/2016
Retrieve Notice of Action (NOA)	Date Received in OIRA: 08/04/2016
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	12/31/2019	36 Months From Approved	02/28/2017
Responses	9,620,424	0	3,916,458
Time Burden (Hours)	771,310	0	676,682
Cost Burden (Dollars)	0	0	0

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Abstract: The federally approved intergovernmental forms are used to facilitate interstate child support case processing when more than one state child support agency is involved. The forms are readily recognizable and provide the information states agree is needed to process a case. More than one state may become involved in a child support case when the parents live in different states, where the parties no longer reside in the state that issued the support order, or when assets are sought in states other than the state enforcing the support order. Intergovernmental cases are the most complex and difficult cases. About 15-25 percent of child support cases are believed to involve more than one state.

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Authorizing Statute(s): US Code: 42 USC 666(f) Name of Law: Uniform Interstate Family Support Act
  

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 46286	08/04/2015
30-day Notice:	Federal Register Citation:	Citation Date:
	81 FR 17086	07/20/2016
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 13

table that charts list of burden

IC Title	Form No.	Form Name
Affidavit / Paternity	1	Affidavit
Child Support Agency Confidenial Information Form	1	Child Support Agency Confidential Information
Contolling Order	1	Controlling Order
Declaration in Support of Establishing Parentage	1	Declaration in Support of Establishing Parentage revised final
General Testimony	1	General Testimony
Letter of Transmittal Requesting Registration	1	Letter of Transmittal Requesting Registration
Locate Data Sheet	1	Child Support Locate Request
Notice of Determination of Controlling Order	1	Notice of Determination of Controlling Order
Personaql Information Form for UIFSA sec. 311	1	Personal Information Form
Registration Statement	1	Registration Statement
Request for Change of Support Payment Location Pursuant to UIFSA 319(b)	1	Request For Change of Support Payment Location
Transmillal #1- Initial Request Acknowledgement	1	Transmittal 1 Acknowledgment
Transmittal #3- Request for Assistance /Discovery	1	Transmittal 3
Transmittal 1-Initial Request	1	Transmittal 1
Transmittal 2	1	Transmittal 2
Uniform Support Petition	1	Uniform Support Petition

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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	9,620,424	3,916,458	0	5,703,966	0	0
Annual Time Burden (Hours)	771,310	676,682	0	94,628	0	0
Annual Cost Burden (Dollars)	0	0	0	0	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: There are program changes to the forms and four new ICs.

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Annual Cost to Federal Government: $13,087,008

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: 08/04/2016

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