Non-IV-D-CPs

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

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0154 can be found here:

Documents and Forms

Document Name Document Type
Form 1 Non-IV-D-CPs Form
0970-0154_Income_Withholding_for_Support_Instructions 041714.doc Instruction
1 IWO Form 0970-0154_Income_Withholding_for_Support_041714.docx Form
Attachment D - Applicable Statutes.pdf Applicable Statutes IC Document
Attachment H - Safeguarding and Disclosure of Confidential Information.pdf Disclosure IC Document

Information Collection (IC) Details

IC Title:	Non-IV-D-CPs	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Removed

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	1	IWO Form	0970-0154_Income_Withholding_for_Support_041714.docx		Yes	Yes	Fillable Printable
Instruction			0970-0154_Income_Withholding_for_Support_Instructions 041714.doc		Yes	Yes	Fillable Printable

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 2,436,312	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	-2,436,312	2,436,312
Annual IC Time Burden (Hours)	-203,026	203,026
Annual IC Cost Burden (Dollars)	-8,791,026	8,791,026

Documents for IC

Title	Document	Date Uploaded
Applicable Statutes	Attachment D - Applicable Statutes.pdf	02/24/2011
Disclosure	Attachment H - Safeguarding and Disclosure of Confidential Information.pdf	02/24/2011

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.