State Plan for Child Support Collection and Establishment of Paternity Under Title IV-D of the Social Security Act

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form OCSE-100 OCSE-100	Form and Instruction	Modified	Available
Form OCSE-21-U4 OCSE-21-U4	Form and Instruction	Modified	Repair queued
SUPPSTAT State Plan 03162017 Final.docx	Supporting Statement A	Uploaded 2017-05-02	Available
Attachment I OCSE-100 TOC.doc	Supplementary Document	Uploaded 2011-05-03	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
9796	OCSE-100	Form and Instruction	Modified
182889	OCSE-21-U4	Form and Instruction	Modified

ICR Details

OMB Control No: 0970-0017	ICR Reference No: 201705-0970-002
Status: Historical Active	Previous ICR Reference No: 201404-0970-010
Agency/Subagency: HHS/ACF	Agency Tracking No: OCSE
Title: State Plan for Child Support Collection and Establishment of Paternity Under Title IV-D of the Social Security Act
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 07/05/2017
	Date Received in OIRA: 05/03/2017
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	07/31/2020	36 Months From Approved	07/31/2017
Responses	540	0	432
Time Burden (Hours)	203	0	162
Cost Burden (Dollars)	0	0	0

---

Abstract: The State plan preprint and amendments serve as a contract with OCSE in outlining the activities the state will perform as required by law in order for states to receive federal funds to meet the costs of these activities. The affected public is comprised of states receiving funds. The information collected on the State plan pages is necessary to enable OCSE to determine whether each State and Territory has a IV-D State plan that meets the requirements in title IV-D of the Social Security Act and implementing regulations.

---

Authorizing Statute(s): PL: Pub.L. 109 - 171 7310(a) Name of Law: Deficit Reduction Act of 2005
  

Citations for New Statutory Requirements: None

---

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	81 FR 83845	11/22/2016
30-day Notice:	Federal Register Citation:	Citation Date:
	82 FR 19378	04/27/2017
Did the Agency receive public comments on this ICR? No

---

Number of Information Collection (IC) in this ICR: 2

table that charts list of burden

IC Title	Form No.	Form Name
OCSE-100	OCSE-100	State Plan
OCSE-21-U4	OCSE-21-U4	Tranmittal

---

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	540	432	0	54	54	0
Annual Time Burden (Hours)	203	162	0	41	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: No

Burden Reduction Due to:

Short Statement: Increase in the number of preprint state plan pages.

---

Annual Cost to Federal Government: $12,989

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

---

Common Form ICR:  No

---

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: 05/03/2017

---