Order to Withhold Income for Child Support and Notice of an Order to Withhold Income for Child Support

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form 1 IWO Form	Form	New	Available
Form 1 IWO Form	Form	New	Available
Form 1 Record Specification	Form and Instruction	Removed	Available
Form 1 IWO Form	Form	Removed	Available
Form 1 IWO Form	Form	Removed	Available
0970-0154_IWO_Supporting_Statement.docx	Supporting Statement A	Uploaded 2017-06-01	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
227082	Programming for electronic withholding order/notice	Other-record layout	New
227081	Electronic income withholding orders/termionation of employment/income status	Other-record layout	New
227080	Income withholding orders/termination of employment/income status	Form	New	IWO Form
227080	Income withholding orders/termination of employment/income status	Instruction	New
227079	Income withholding order/notice	Form	New	IWO Form
227079	Income withholding order/notice	Instruction	New
211224	e-IWO Employers	Form and Instruction	Removed	Record Specification
196434	Non-IV-D-CPs	Form	Removed	IWO Form
196434	Non-IV-D-CPs	Instruction	Removed
196433	Employers	Form	Removed	IWO Form
196433	Employers	Instruction	Removed

ICR Details

OMB Control No: 0970-0154	ICR Reference No: 201706-0970-001
Status: Historical Active	Previous ICR Reference No: 201404-0970-003
Agency/Subagency: HHS/ACF	Agency Tracking No:
Title: Order to Withhold Income for Child Support and Notice of an Order to Withhold Income for Child Support
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: 08/16/2017
Retrieve Notice of Action (NOA)	Date Received in OIRA: 06/06/2017
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	08/31/2020	36 Months From Approved	08/31/2017
Responses	16,710,283	0	12,627,035
Time Burden (Hours)	696,095	0	519,300
Cost Burden (Dollars)	0	0	24,041,245

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Abstract: The Family Support Act of 1988 and the Personal Responsibility and Work Opportunity Reconciliation Act of 1996 established the framework for mandatory income withholding, via a standard format, for child support orders issued or modified through state IV-D agencies. With limited exceptions, that law also mandates immediate wage withholding for all orders entered or modified on or after January 1, 1994 and requires states to adopt an expanded definition of income available for child support payments in addition to wages to include salaries, commissions, bonuses, workers’ compensation, disability, payments pursuant to a pension or retirement program and interest. The Social Security Act requires the Secretary of Health and Human Services to promulgate the standard income withholding form to be sent to employers by all parties to garnish income for child support payments.

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Authorizing Statute(s): PL: Pub.L. 104 - 193 324 Name of Law: Personal Responsibility and Work Opportunity Reconcillation Act of 1996
  

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:
	81 FR 192	10/04/2016
30-day Notice:	Federal Register Citation:	Citation Date:
	82 FR 25291	06/01/2017
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 4

table that charts list of burden

IC Title	Form No.	Form Name
Electronic income withholding orders/termionation of employment/income status
Employers	1	IWO Form
Income withholding order/notice	1	IWO Form
Income withholding orders/termination of employment/income status	1	IWO Form
Non-IV-D-CPs	1	IWO Form
Programming for electronic withholding order/notice
e-IWO Employers	1	Record Specification

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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	16,710,283	12,627,035	0	4,083,248	0	0
Annual Time Burden (Hours)	696,095	519,300	0	176,795	0	0
Annual Cost Burden (Dollars)	0	24,041,245	0	-24,041,245	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: Changes in the forms.

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Annual Cost to Federal Government: $1,326,486

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: 06/06/2017

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