Information Collection Request

Notice to Account Holder for Garnishment of Accounts Containing Federal Benefit Payments

ICR 201704-1505-002 · OMB 1505-0230 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
1505-0230 Garnishment_Supporting_Stmnt 2017 ver April 4 2017.docx Supporting Statement A Uploaded 2017-04-10 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
196153 Notice of Right to Garnish Federal Benefits to a Child Support Order Sent to a Financial Institution Instruction Modified
191955 Notice to Account Owner and Record Retention Instruction Modified

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
06/30/2020 36 Months From Approved 06/30/2017
130,250 0 140,000
23,354 0 24,167
0 0 0





Reginfo record details
2
table that charts list of burden
IC Title Form No. Form Name
Notice of Right to Garnish Federal Benefits to a Child Support Order Sent to a Financial Institution
Notice to Account Owner and Record Retention

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 130,250 140,000 0 0 -9,750 0
Annual Time Burden (Hours) 23,354 24,167 0 0 -813 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No